Case Report

Fatal Invasive Cryptococcal Infection in an HIV-Negative Elderly Patient with Decompensated Hepatic Cirrhosis

Table 1

Laboratory data on admission.

CBCHepatic

 WBC (3000-8500) /µL9200 CRP (0-0.29) mg/dL9.68

 Hb (11-16) g/dL7.2 AST (13-37) U/L58

 MCV (83-100) fL119 ALT (8-45) U/L32

 PLTs (150K-360K)/µL57K LDH (122-228) U/L362

Hemostatic ChE (206-477) U/L25

 PT (80-100)%26.2 g-GTP (8-33) U/L23

 PT-INR (0.9-1.1)2.24 T. bil (0.3-1.3) mg/dL6.68

 APTT sec60.2 D. bil (0.1-0.3) mg/dL4.70

 APTT-control sec28.1 Total protein (6.7-8.3) g/dL4.4

 Fibg (200-400) mg/dL88 Albumin (4.1-5.2) g/dL1.9

 FDP (0.0-2.5) µg/mL16.8 Ammonia (20-70) µg/dL173

 D-dimer (0.0-1.0) µg/mL10.2 Hyaluronic acid (0-50) ng/mL41,112

 Type IV collagen (0-140) ng/mL872

Renal & Electrolytes Ceruloplasmin (21-37) mg/dL14.1

 BUN (7.8-18.9) mg/dL48.7Viral studies

 Cre (0.45-0.82) mg/dL3.97 HBs-Ag/HBs-Abneg/pos

 eGFR9 HBc-Abpos (59.6)

 UA (2.5-5.8) mg/dL4.1 HCV-Abneg

 Na/ K/ Cl mmolL/L141/ 5.2/ 105 HCV-core protein<3

Immunological HIVneg

 IgG (820-1740) mg/dL851 HTLV-1neg

 IgA (90-400) mg/dL424Pleural fluid

 IgM (52-270) mg/dL21 Cell counts; /µL272

 C3 (80-140) mg/dL44 Differential; mono %/ poly %57.7/42.3

 C4 (11-34) mg/dL11.6 Protein; g/dL2.4

 CH50 (30-45) U/mL15 ADA (40-50) U/L17.1

Abbreviations for Table 1.
WBC=white blood cell count, Hb=hemoglobin, MCV=mean corpuscular volume, PLTs=platelet counts, PT=prothrombin time, APTT=activated partial thromboplastin time, Fibg=fibrinogen, FDP=fibrin degradation product, BUN=blood urea nitrogen, Cre=creatinine, eGFR= estimated glomerular filtration rate, UA=uric acid, Ig=immunoglobulin, CH50=50% hemolytic unit of complement, C3=complement 3, C4=complement 4, CRP=C-reactive protein, AST=aspartate aminotransferase, ALT=alanine aminotransferase, LDH=lactate dehydrogenase, ChE=choline esterase, g-GTP=gamma-glutamyl transpeptidase, T. bil=total bilirubin, D. bil=direct bilirubin, HB=hepatitis B virus, Ag=antigen, Ab=antibody, HCV=hepatitis C virus, HIV=human immunodeficiency virus, HTLV-1= Human T-cell leukemia virus type 1, ADA=adenosine deaminase.