An Unusual Case of Campylobacter jejuni Gastroenteritis Presenting with Acute Reversible Encephalopathy in an Immunocompetent Host

Table 1

Blood studies.

	Blood analysis	Result	Reference range
Complete blood count	White blood cell	11.6	(4.8–10.9) th/μL
	Percent neutrophils	76.5	(49.0–77.6) %
	Percent lymphocytes	17.7	(11.8–40.8) %
	Percent monocytes	5	(3.70–11.80) %
	Percent eosinophils	0.2	(0–4.8) %
	Percent basophils	0.3	(0–1.3) %
	Percent immature granulocytes	0.3	(0–1) %
	Hemoglobin	12.6	(10.8–14.7) gm/dL
	Hematocrit	36.8	(32.2–42.9) %
	Mean corpuscular volume	87.4	(84–96) fL
	Mean corpuscular hemoglobin	29.9	(28.3–32.3) pg
	Mean corpuscular hemoglobin concentration	34.2	(29.58–33.75) gm/dL
	Platelet count	212	(146–388) th/μL
	Red blood cell distribution width CV	12	(12.20–15.80) %
	Red blood cell distribution width SD	38.6	(38.93–51.44) fL
Complete metabolic panel	Sodium	136	(132–143) mmol/L
	Potassium	3.3	(3.5–5.1) mmol/L
	Chloride	105	(98–107) mmol/L
	Carbon dioxide	23	(21–31) mmol/L
	Creatinine	0.7	(0.6–1.2) mg/dL
	BUN	12	(7–25) mg/dL
	Calcium	8.8	(8.6–10.3) mg/dL
	Glucose	119	(70–113) mg/dL
	Ammonia	30	(16–53) umol/L
	AST	17	(13–39) IU/L
	ALT	15	(7–52) IU/L
	Alkaline phosphatase	73	(34–104) IU/L
	Albumin	4.1	(3.7–4.9) gm/dL
	Total bilirubin	0.3	(0.2–1.2) mg/dL
Coagulation studies	PT	12.9	(10.6–13) second
	INR	1.11	(0.90–1.10) INR
	PTT	22.8	(24–36.7) second
Others	Sedimentation rate	46	2–30 mm/hr
	C-reactive protein	3.3	<1 mg/dL
	Lactic acid	1.2	(0.5–1.99) mmol/L
	Alcohol serum	<10.00	<10.00 mg/dL
	Alcohol serum calculation	<0.01	<0.01 gm/dL
Serology	ANCA screen	Negative	Negative
	dsDNA	1.5	<10 IU/mL
	Symphony ANA screen	0.1	<0.7 ratio
	Symphony ANA	0.2	<0.7 ratio
	Complement C3	156	(87–200) mg/dL
	Complement C4	26	(19–52) mg/dL
Infectious studies	HIV antibodies	Nonreactive	Nonreactive
	Aspergillus flavus antibody	Negative	Negative
	Aspergillus niger antibody	Negative	Negative
	Aspergillus fumigatus antibody	Negative	Negative
	Coccidioides antibody	Negative	Negative
	Histoplasma antibody	Negative	Negative
	Blastomycosis antibody	Negative	Negative
	Febrile agglutinin panel	Negative	Negative
	Respiratory viral panel PCR	Negative	Negative

ANCA screen: p-ANCA, c-ANCA, and atypical p-ANCA. Febrile agglutinin panel: P-OX19, POX2, P-OXK, and Brucella. Respiratory viral panel includes adenovirus, coronavirus, influenza A, influenza B, human metapneumovirus, parainfluenza, respiratory syncytial virus, rhinovirus, Enterovirus, Bordetella pertussis, Chlamydophila pneumoniae, and Mycoplasma pneumoniae.