Case Report
Case Report on Pleural Empyema Thoracis and Urinary Tract Infection Caused by Chromobacterium violaceum from Lagos, Nigeria
Table 1
Clinical and laboratory findings.
| | Investigations | Case 1 | Case 2 | Case 3 | Reference ranges |
| | Packed cell volume | 0.33 L/L | 0.33 L/L | 0.20 L/L | 0.37–0.47 L/L (case 1)
0.30–0.43 L/L (cases 2 and 3) | | Heamoglobin | NA | NA | 60 g/L | 110–165 g/L | | White blood cell (WBC) | 11.2 × 109/L | 15.6 × 109/L | 36.0 × 109/L | 3.5–11 × 109/L | | Differential WBC | | | | | | Neutrophil | 80% | 19% | 87% | 40–75% | | Lymphocytes | 16% | 75% | 10% | 20–45% | | Monocyte | 4% | 6% | 3% | 2–10% | | Platelet count | 532 × 109/L | 220 × 109/L | ND | 150–400 × 109/L | | Erythrocyte sedimentation rate (Westergreen method) | 85 mm in 1 hour | ND | ND | 0–4 mm in 1 hour | | Haemoglobin genotype | AA | ND | ND | ND | | Blood group A+ | A+ | | | | | HIV screening | Negative | | | | | Urea | 3.9 mmol/L | 1.3 mmol/L | 12.2 mmol/L | 1.7–8.3 mmol/L | | Sodium | 129 mmol/L | 131 mmol/L | 130 mmol/L | 133–150 mmol/L (case 1)
138–145 mmol/L (cases 2 and 3) | | Bicarbonate | 22 mmol/L | 18 mmol/L | 16 mmol/L | 18–22 mmol/L | | Creatinine | 61.9 mmol/L | 44.2 mmol/L | 141 mmol/L | 44.2–97 mmol/L | | Potassium | 3.8 mmol/L | 5.1 mmol/L | 2.8 mmol/L | 3.5–5 mmol/L
3.4–4.7 mmol/L (cases 2 and 3) | | Chloride | 96 mmol/L | 104 mmol/L | 96 mmol/L | 96–110 mmol/L | | Cerebrospinal fluid | NA | | NA | | | Analysis | | 2.2 mmol/L | | 2.5–4.4 mmol/L | | Glucose | | 6 g/L | | 15–45 g/L | | Microprotein | | 30 cells/mm3 | | 0–30 cells/mm3 | | CSF cell count | | Mainly lymphocytes | | | | Total blood protein | NA | NA | 37 g/L | 65–81 g/L | | Albumin | NA | NA | 9 g/L | 30–50 g/L | | Globulin | NA | NA | 28 g/L | 20–35 g/L | | Ziehl–Neelsen staining | No acid-fast bacilli seen | NA | NA | | | Body temperature | 37.9°C | 36.7°C | 38°C | | | Heart rate | 98 beats/min | 152 beats/min | 96 beats/min | | | Respiratory rate | 40/min | 22/min | ND | | | Blood pressure | 110/70 mmHg | ND | 84/50 mmHg | | | Weight | NA | 5.8 kg | 18 kg | | | Occipitofrontal circumference | NA | 44.4 cm | NA | | | Electrocardiogram | ND | Normal | NA | | | Urine analysis | NA | Colour: amber
Appearance: nonturbid
pH 6.5
Specific gravity: 1.005
Leukocyte-negative
Protein-negative | Colour: amber
pH 6.0
Specific gravity: 1.020
Protein: ++
Leukocytes: ++
Ketone: +
Blood: trace
24 hours urinary
Protein = 1.99 g/24 hrs
Urine volume = 410 ml
Urine microscopy = pus cell 3-4HPF | Urinary protein ≤100 mg/24 hrs |
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NA: not applicable; ND: not done.
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