Case Report

15q Duplication Syndrome: Report on the First Patient from Ecuador with an Unusual Clinical Presentation

Table 1

Laboratory results from the NICU.

ParameterResultsReference value

Blood analysisHemoglobin (g/dl)14.7[13–15]
Blood typeA+N/A
Direct coombsNegativeN/A

Blood chemistryGlucose (mg/dl)69[80–100]
Ammonia (μg/dl)140[27–102]
C-reactive protein (mg/l)5.30[0.5–5.0]

ElectrolytesK (mmol/l)4.74[3.70–5.30]
Na (mmol/l)136.0[135.0–148.0]
Cl (mmol/l)112.2[98.0–115.0]
Calcium (mmol/l)1.06[1.12–1.30]
Magnesium (mg/dl)2.1[1.6–2.6]

GasometryPh (alg H+)7.45[7.350–7.450]
PCO2 (mmHg)18.3[30.0–40.0]
PO2(mmHg)52.5[58.5–100.0]
HCO3 (mmol/l)12.5[22.0–29.0]
Base excess (mmol/l)−10.8[−2.0–2.0]
SO2 (%)92.2[95.0–99.0]
AnGap19.9[8.0–40.0]

Muscle damage reactantsCPK (U/L)1400[39–308]
CPK (U/L) control week173[39–308]
Lactate3.5[1.2–6.9]

UroanalysisBloodNegative
Rbc hpfield2[0–4]
Wbc hpfield3.4[0–4]
MicrobiologicNegative

CoagulationTP (s)16.4[11–15]
TTP (s)50.4[25–35]
INR1.47[1.0–1.4]

TORCHIgM (U/I)<1N/A
Toxicology-panel 7-to newbornCocaine, amphetamine/Meth, ecstasy, marijuana, PCP, codeine, heroin, morphine, benzodiazepines, barbituratesNegativeN/A
CSF analysisProteins (mg/dl)65.2[20–68]
Glucose (mg/dl)49.0[Serum ratio >0.6]
Ziehl, gram, cultureNegativeN/A

HormonalFT4 (ng/dl)1.43[0.66–2.71]
TSH (μlU/ml)1.04[0.43–16.1]