A Curious Case of Dengue Fever: A Case Report of Unorthodox Manifestations

Table 1

Baseline laboratory investigations.

Laboratory investigations	Results	Normal value
Hb	7.0	13.5 to 17.5 g/dl
MCV	103.9	80–95 fL
TLC	25.2	4.5–11.0 × 109/L
Neutrophils	40%	55–70%
Lymphocytes	57%	20–40%
Platelets	137 × 10E9/L	150–400 × 109 per liter
Total bilirubin	4.75	0.1–1.0
Direct bilirubin	2.49	0.1–0.4
GGT	244	9 to 85 IU/L
ALT	482	7–56 IU/L
ALP	1397	41 to 133 IU/L
Total albumin	5.98	6 to 8 g/dl
Globulin	3.03	2.0 to 3.5 g/dL
Albumin	3	3.5 to 5.0 g/dl
Prothrombin time	59.4	11.0–12.5 seconds
INR	5.30	0.8–1.1
APTT	52.1	30–40 seconds
LDH	13120 U/L	140 U/L 280 U/L
D-Dimer	0.7 mg/dl	Less than 0.3
Serum B12 level	1471 pg/ml	191–663
ESR	53 mm/hr	0–25
Reticulocyte count	6.8%	0.5% to 2.5%

Hb: hemoglobin; MCV: mean corpuscular volume; TLC: total leukocyte count; GGT: gamma-glutamyltransferase; ALT: alanine transaminase; ALP: alkaline phosphatase; INR: international normalization ratio; APTT: activated partial thromboplastin time; LDH: lactate dehydrogenase; ESR: erythrocyte sedimentation rate.