Case Report
A Case of Pulmonary-Renal Syndrome Leading to the Diagnosis of Legionnaires’ Disease
Table 1
Changes in laboratory values during the clinical course of two hospitalizations.
| | 1st admission Day 0 | Day 3 | Day 7 | 2nd admission Day 8 | Day 13 | Day 22 | Reference values |
| WBC (K/μL) | 4230 | 5640 | 11910 | 14790 | 14600 | 4600 | 3.8–10.5 | Ht/Hb (%, gr/dL) | 33.3/11.6 | 27.8/9.8 | 29.5/10 | 29.8/10.36 | 30.8/10.4 | 36/12 | 40–52/14–18 | PLTs (K/μL) | 147000 | 155000 | 303000 | 338000 | 245000 | 80000 | 150–450.000 | SGOT/AST (U/L) | 80 | 82 | | 18 | 8 | 6 | 10–37 | SGPT/ALT (U/L) | 44 | 33 | | 30 | 25 | 28 | 10–45 | LDH (U/L) | 455 | 481 | | 359 | 375 | 240 | <248 | CPK (U/L) | 656 | 251 | | 34 | 50 | 25 | <170 | ALP (U/L) | 30 | | | 31 | 45 | 49 | 30–120 | γGT/GTT (U/L) | 25 | | | 33 | 34 | 32 | <55 | Total proteins/albumin (gr/dL) | 5.5/2.7 | | | 5.7/2.8 | 6.3/3.1 | 6.7/3.5 | 6.6–8.3/3.5–5.2 | Urea (mg/dL) | 57 | 91 | 175 | 165 | 184 | 133 | 10–43 | Creatinine (mg/dL) | 1.23 | 2.52 | 4.72 | 3.42 | 3.84 | 1.87 | 0.81–1.2 | Potassium (mEq/L) | 3.8 | 3.4 | 3.5 | 3.9 | 4.1 | 4.2 | | Sodium (mEq/L) | 128 | 137 | 147 | 140 | 143 | 141 | 136–145 | Calcium (mg/dL) | | 7.9 | | 7.8 | 7.2 | 8.3 | | Phosphorus (mg/dL) | | | | 5 | 5.2 | 3.6 | | ESR (mm/h) | 44 | | | 44 | | | <20 | CRP (mg/dL) | | 5.02 | | 4.57 | 1.47 | 0.50 | <0.5 |
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