Case Report

Coccidioidomycosis Masquerading as Eosinophilic Ascites

Table 1

Laboratory characteristics.

ParameterValueNormal range

Complete blood count
 HGB13.9 g/dL13.5–17.5 g/dL
 Platelet457 K/μL150–450 K/μL
 Lymphocytes13.7%25–45%
 Eosinophils11.1%0–6%
Electrolytes
 Bicarbonate29 mEq/L22–28 mEq/L
 Calcium (ionized)3.43 mg/dL4.4–5.4 mg/dL
Liver function
 Albumin3.2 g/dL3.5–5.5 g/dL
 Globulin4.0 g/dL2–3.5 g/dL
Iron
 Ferritin387 ng/mL20–250 ng/mL
 Serum iron23 μg/dL65–177 μg/dL
 TIBC193 μg/dL250–370 μg/dL
 Iron saturation12%20–50%
Coagulation profile
 PT14.7 sec12–14.7 sec
 INR1.10.8–1.1
Miscellaneous
 Lipase18 U/L12–53 U/L
 CRP88 mg/L<1 mg/L
 ESR46 mm<15 mm/hr
LDH
 Serum IgE530 IU/mL0–380 IU/mL
 HIV screen (ELISA)NonreactiveNonreactive
 Anti-cocci antibodyPositiveNegative
 Quantiferon-TB GoldNegativeNegative
Urinalysis
 Protein50 mg/dLNegative
 Ketones4+Negative
Stool analysis
 Ova and parasiteNegativeNegative
 CulturesNegativeNegative

Only abnormal lab values are listed. HGB: hemoglobin; TIBC: total iron binding capacity; CRP: C-reactive protein; ESR: erythrocyte sedimentation rate; PT: prothrombin time; INR: international normalized ratio; LDH: lactate dehydrogenase; HIV: human immunodeficiency virus; ELISA: enzyme-linked immunosorbent assay.