Spontaneous Bacterial Peritonitis and Henoch-Schönlein Purpura in a Patient with Liver Cirrhosis

Table 1

(a) Initial labs. (b) Other labs. (c) Paracentesis. (d) Urine studies.

(a)

Lab	Value	Reference
Wbc	3.3	(4–10)
Hg	7.7	(14–18)
Hct	23.4	(40–52)
Platelets	95	(150–350)
Na	129	(135–145)
K	3.7	(3.5–5)
Cl	98	(96–106)
HCO3	15.5	(22–30)
AG	16	(7–16)
BUN	26	(7–20)
Cr	1.6	(0.5–1.2)
Glucose	217	(70–100)
AST	49	(0–34)
ALT	31	(0–34)
ALP	184	(30–130)
GGT	253	(11–49)
DB	0.11	(>0.20)
TB	0.23	(<1.20)
Albumin	3.0	(3.5–5)
INR	0.92	(1-2)
Ammonia	72	(11–35)
AFP	1	(<6)

(b)

Lab	Value	Reference
ANA	<1 : 40	(<1 : 40)
ANCA	negative
Anti-DNASE B ab	<80	(0–200)
Antismooth IgG	13	(<20)
C3	86	(81–145)
C4	32	(16–39)
Ceruloplasmin	29	(18–51)
Ferritin	36	(30–400)
HgA1c	8.0	(4.0–6.0)
HIV	negative
HbSAg	negative
Hep C Ab	negative
Hep BcIgM	negative
Hep A IgM	negative
LDH	181	(118–273)
Mitochondrial ab	4.7	(<20)
Ova/parasites urine	negative
Schistosoma ab	0.95	(<0.20)
TSH	1.62	(0.27–4.20)
Total protein	5.9	(6.5–8.0)

(c)

Lab	Value
Glucose	182 mg/dL
LDH	79 U/L
Protein	1.7 g/dL
Albumin	0.9 g/dL
RBC	6400 cells/uL
Nucleated cells	1850 cells/uL
Differential	51% granulocytes, 17% lymphocytes, and 32% tissue cells
Cytology	Negative for malignancy, mesothelial cells with histiocytes and neutrophils
Culture	4+ WBCs, no organisms

(d)

Lab	Value
Protein	100 mg/dL
Blood	Large
Bilirubin	Negative
Leukocytes	Negative
Nitrites	Negative
Hyaline casts	3
WBC/HPF	17
RBC/HPF	1363
Urine Na	31 mmol/L
Urine K	17.9 mmol/L
Urine Cl	16 mmol/L
Urine Cr	50.7 mg/dL
Urine UN	666 mg/dL
FeNa	0.8%