Case Report
Haemophagocytic Lymphohistiocytosis in an Elderly Patient after Recent Cardiac Surgery
| Indices | Day 1: emergency department | Day 5 | Day 13 | Others | Reference range adults |
| Haemoglobin (g/dl) | 9.0 | | 8.7 | | 13.5 – 18.0 | Mean corpuscular volume | 82.8 | | 79.4 | | 83.0 – 99.0 | Reticulocyte count (%) | | 1.1% | | | 0.4 – 1.9 | Nucleated red blood cell ( 109/L) | | 0.0 | 0.1 | | | White cell count ( 109/L) | 4.1 | | 2.7 | | 4.0 – 11.0 | Neutrophils ( 109/L) | 3.1 | | 1.5 | | 2.0 – 7.5 | Platelet count ( 109/L) | 227 | | 45 | | 140 – 450 | Sodium (mmol/L) | 126 | | 134 | | 136 – 145 | Potassium (mmol/L) | 4.4 | | 4.0 | | 3.5 – 5.3 | Urea (mmol/L) | 9.4 | | 8.8 | | 2.5 – 7.8 | Creatinine (μmol/L) | 180 | | 132 | | 59 – 104 | Total protein (g/L) | 67 | | 57 | | 66 – 87 | Serum albumin (g/L) | 30 | | 19 | | 33 – 50 | Alkaline phosphatase (IU/L) | 353 | | 1462 | | 40 – 129 | Gamma-glutamyl transferase (IU/L) | 403 | | 635 | | 10 – 71 | Bilirubin (μmol/L) | 14 | | 271 | | 0 – 21 | Alanine aminotransferase (IU/L) | 148 | | 336 | | 0 – 41 | Aspartate aminotransferase (IU/L) | 134 | | 1013 | | 0 – 40 | Lactic dehydrogenase (IU/L) | 262 | | | | 135 – 250 | Corrected calcium (mmol/L) | 2.10 | | 2.13 | | 2.15 – 2.50 | Magnesium (mmol/L) | 0.86 | | 0.90 | | 0.70 – 1.00 | Phosphate (mmol/L) | 1.12 | | 1.00 | | 0.81 – 1.45 | C-reactive protein (mg/L) | 80.46 | | 16.49 | | 0.00 – 5.00 | Serum angiotension-converting enzyme (ACE) (IU/L) | | | | 106 | <8 – 65 | IgG (g/L) | | | | 16.35 | 6.26 – 14.96 | IgM (g/L) | | | | 3.96 | 0.47 – 1.82 | IgA (g/L) | | | | 14.52 | 0.62 – 2.90 | Alpha 1 antitrypsin (g/L) | | | | 2.15 | 1.10 – 2.20 | Ceruloplasmin (g/L) | | | | 0.35 | 0.22 – 0.66 | Iron (µmol/L) | | | | 18 | 14 – 31 | Unsaturated iron binding capacity (μmol/L) | | | | 10 | 20 – 66 | Transferrin saturations (%) | | | | 64 | 30 – 40 | Ferritin (ug/L) | | | | 35 164.8 | 23.0 – 393.0 | Fibrinogen (g/L) | | | | 1.2 | 1.9 – 3.5 | Haptoglobins (g/L) | | | | <0.24 | 0.45 – 2.05 | Triglycerides (mmol/L) | | | | 3.22 | 0.50 – 1.70 | EBV DNA PCR | | | | 71 387 | | EBV nuclear antigen IgG | | | Negative | Positive | Viral capsid antigen IgM | | | Positive | Negative | Viral capsid antigen IgG | | | Positive | Positive |
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