Case Report
Adult-Onset Acute Disseminated Encephalomyelitis with Epstein-Barr Virus Infection
Table 1
The patient’s laboratory test results.
| | Day of admission | 14 days after admission | Reference range |
| | Hematology | | | | | White blood cells (/μL) | 10600 | 10200 | 4000-9000 | | Lymphocytes (/μL) | 2330 | 1820 | | | Lymphocyte (%) | 22 | 17.8 | 26.6-46.6 | | Atypical lymphocytes (/μL) | 2540 | 0 | | | Atypical lymphocyte (%) | 24 | 0 | 0-3.0 | | Biochemistry | | | | | AST (IU/L) | 26 | 24 | 13-33 | | ALT (IU/L) | 41 | 67 | 8.0-42 | | γ-GTP (IU/L) | 29 | 22 | 11-47 | | Total bilirubin (mg/dL) | 0.4 | 0.6 | 0.2-1.2 | | Albumin (g/dL) | 3.8 | 3.8 | 4.0-5.0 | | BUN (mg/dL) | 13.1 | 15.3 | 8.0-22 | | Creatinine (mg/dL) | 0.58 | 0.63 | 0.6-1.1 | | CRP (mg/dL) | 1.39 | 0.02 | 0-0.19 | | Immunoserology | | | | | Anti-EBV VCA IgG (times) | 160 | 80 | <10 | | Anti-EBV VCA IgM (times) | 20 | 20 | <10 | | EBNA (times) | <10 | <10 | <10 | | Anti-EA-DR IgG (times) | <10 | <10 | <10 |
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Abbreviations: γ-GTP: gamma glutamyl transpeptidase; ALT: alanine transaminase; AST: aspartate transaminase; BUN: blood urea nitrogen; CRP: C-reactive protein; EA-DR: diffuse and restricted early antigen; EBNA: Epstein-Barr virus nuclear antigen; EBV: Epstein-Barr virus; IgG: immunoglobulin G; IgM: immunoglobulin M; VCA: viral capsid antigen.
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