Case Report

Haemophagocytic Lymphohistiocytosis in an Elderly Patient after Recent Cardiac Surgery

Table 1

Laboratory data.

IndicesDay 1: emergency departmentDay 5Day 13OthersReference range adults

Haemoglobin (g/dl)9.08.713.5 – 18.0
Mean corpuscular volume82.879.483.0 – 99.0
Reticulocyte count (%)1.1%0.4 – 1.9
Nucleated red blood cell ( 109/L)0.00.1
White cell count ( 109/L)4.12.74.0 – 11.0
Neutrophils ( 109/L)3.11.52.0 – 7.5
Platelet count ( 109/L)22745140 – 450
Sodium (mmol/L)126134136 – 145
Potassium (mmol/L)4.44.03.5 – 5.3
Urea (mmol/L)9.48.82.5 – 7.8
Creatinine (μmol/L)18013259 – 104
Total protein (g/L)675766 – 87
Serum albumin (g/L)301933 – 50
Alkaline phosphatase (IU/L)353146240 – 129
Gamma-glutamyl transferase (IU/L)40363510 – 71
Bilirubin (μmol/L)142710 – 21
Alanine aminotransferase (IU/L)1483360 – 41
Aspartate aminotransferase (IU/L)13410130 – 40
Lactic dehydrogenase (IU/L)262135 – 250
Corrected calcium (mmol/L)2.102.132.15 – 2.50
Magnesium (mmol/L)0.860.900.70 – 1.00
Phosphate (mmol/L)1.121.000.81 – 1.45
C-reactive protein (mg/L)80.4616.490.00 – 5.00
Serum angiotension-converting enzyme (ACE) (IU/L)106<8 – 65
IgG (g/L)16.356.26 – 14.96
IgM (g/L)3.960.47 – 1.82
IgA (g/L)14.520.62 – 2.90
Alpha 1 antitrypsin (g/L)2.151.10 – 2.20
Ceruloplasmin (g/L)0.350.22 – 0.66
Iron (µmol/L)1814 – 31
Unsaturated iron binding capacity (μmol/L)1020 – 66
Transferrin saturations (%)6430 – 40
Ferritin (ug/L)35 164.823.0 – 393.0
Fibrinogen (g/L)1.21.9 – 3.5
Haptoglobins (g/L)<0.240.45 – 2.05
Triglycerides (mmol/L)3.220.50 – 1.70
EBV DNA PCR71 387
EBV nuclear antigen IgGNegativePositive
Viral capsid antigen IgMPositiveNegative
Viral capsid antigen IgGPositivePositive