Case Report
A Rare Presentation of Hepatitis A Infection with Extrahepatic Manifestations
Table 1
Laboratory data on admission and hospital day 6.
| | Variable | Reference range (adults) | On admission | Hospital day 6 |
| | Hemoglobin (g/dL) | 13.7–17.5 (males) | 15.5 | 14.2 | | Hematocrit (%) | 40.1–51.0 (males) | 46.7 | 43.1 | | White-cell count (per mm3) | 4.1–10.8 | 25,900 | 11,900 | | White-cell differential count | | | | | Neutrophils (%) | 34.0–69.5 | 82.7 | 70.8 | | Immature granulocytes (%) | 0–0.7 | 0.9 | 1.3 | | Lymphocytes (%) | 20.0–53.0 | 5.8 | 14.3 | | Monocytes (%) | 5.0–12.5 | 10.5 | 8.5 | | Eosinophils (%) | 0.7–6.0 | 0.0 | 4.7 | | Basophils (%) | 0.0–2.0 | 0.1 | 0.4 | | Platelet count (per mm3) | 140,000–370,000 | 266,000 | 223,000 | | Sodium (mmol/L) | 137–145 | 133 | 139 | | Potassium (mmol/L) | 3.5–5.1 | 7.2 | 4.5 | | Chloride (mmol/L) | 100–108 | 99 | 95 | | Bicarbonate (mmol/L) | 22–30 | 19 | 28 | | Blood urea nitrogen (mg/dL) | 7–20 | 24 | 14 | | Creatinine (mg/dL) | 0.7–1.4 | 1.3 | 0.8 | | Alkaline phosphatase (U/L) | 38–162 | 53 | 62 | | Aspartate aminotransferase (U/L) | 10–50 | 159 | 51 | | Alanine aminotransferase (U/L) | 20–70 | 75 | 130 | | Total bilirubin (mg/dL) | 0.2–1.0 | 0.3 | 0.4 | | Lactate dehydrogenase (U/L) | 310–620 | 1490 | | | Creatinine phosphokinase (U/L) | 55–170 | 10686 | | | C-reactive protein (mg/dL) | 0.00–0.49 | 3.47 | 0.73 | | Cortisol (mcg/dL) | 4.5–22.7 (morning) | 42.20 | | | Erythrocyte sedimentation rate | 0–15 mm/hour | 1 | 13 | | Lactic acid (mmol/L) | 0.9–1.7 | 6.0 | 0.9 |
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