Case Report
Creutzfeldt-Jakob Disease Presenting as Expressive Aphasia and Nonconvulsive Status Epilepticus
| | Variable | Value |
| | Microbiology | | | CSF | Negative for bacterial growth | | Negative for acid fast bacilli (AFB) | | Autoimmune panel serum: | | | Microsomal TPO antibody | <0.2 IU/ml | | Thyroxine binding globulin | 19.3 microgram/ml | | Anti-TG Ab | <0.2 IU/ml | | HIV 1/2 PCR | None | | Lyme | 0.07 (Ref: ≤0.99 LIV) | | FT Ab | Non-reactive | | West Nile Virus (IgM) | None | | SSA, 52 (Ro) | 1 AU/ml | | SSA, 60 (Ro) | 1 AU/ml | | Sjogren’s Ab | 0 AU/ml | | ANA | None | | Cysticercosis Ab, IgG by ELISA | 0.0 (Ref: OD ≤ 0.34) | | Paraneoplastic antibodies serum: | | | ANNA (1–3) | Negative | | AGNA-1 | Negative | | PCA (1-2) | <1 : 240 Negative | | PCA-Tr | <1 : 240 Negative | | Amphiphysin | <1 : 240 negative | | CRMP-% IgG | <1 : 120 Negative | | Striational Ab | 0.0 nmol/L | | P/Q type calcium channel Ab | 0.0 nmol/L | | 0.0 nmol/L | | Ach receptor (muscle binding AB) | 0.0 nmol/L | | 0.0 nmol/L | | Ach receptor (ganglionic neuronal Ab) | 0.0 nmol/L | | Neuronal (V-G) K+ channel Ab | 0.0 nmol/L | | Other labs: | | | WBC | 6.1 × 109/L | | Neutrophil | 73% | | Hemoglobin | 15.9 g/dl | | Hematocrit | 45.3% | | Platelets | 211 × 109/L | | MCV | 86 fl | | Lymphocyte | 30.70% | | Eosinophil | 1.88% | | Polys | 62% | | Sodium | 136 mEq/L | | Potassium | 3.5 mEq/L | | Chloride | 105 mEq/L | | Bicarbonate | 22 mEq/L | | BUN | 15 mg/dl | | Creatinine | 0.79 mg/dl | | Anion Gap | 9 mEq/L | | Vitamin B 12 | 800 pg/ml | | Thyroglobulin | 2.0 ng/ml | | TSH | 4.016 microIU/ml | | CRP | 0.14 mg/L | | AST | 22 unit/L | | ALT | 21 unit/L | | ALP | 61 unit/L | | Calcium | 9.6 mg/dl | | T-Bili | 0.5 mg/dl | | Albumin | 4.4 g/dl | | Total protein | 7.5 g/dl |
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