Table 2 Comparison of laboratory studies performed during patient's first and second admissions
Laboratory studies | First admission (2 to 9 February) | Second admission (11 to 21 March) | Normal range or value |
|---|---|---|---|
Complete blood count | |||
WBC (× 109/L) | 11.82 | 9.12 | 4.8 to 10.8 |
Absolute lymphocytes (× 103/μL) | 7.29 | 5.84 | 1.20 to 3.40 |
CSF lumbar puncture | |||
RBC (cells/μL) | 63 | 6 | |
WBC (cells/μL) | 6 | 8 | 0 to 5 |
Neutrophils (%) | 0 | 3 | |
Lymphocytes (%) | 83 | 86 | |
Monocytes (%) | 17 | 10 | |
Number of cells counted | 18 | Not measured | |
Glucose (mg/dL) | 54 | 55 | |
Total protein (mg/dL) | 49 | 40 | 15 to 45 |
CSF rapid PCR for HSV-1 | Positive | Negative | |
CSF cytology | Negative | Negative | |
CSF flow cytometry | Negative | Negative | |
Oligoclonal banding | |||
CSF bands | Not measured | 10 | <4 |
Serum bands | 0 | ||
CSF IgG index | |||
CSF IgG index | 0.9 | <0.85 | |
CSF IgG (mg/dL) | 6.11 | <8.1 | |
CSF albumin (mg/dL) | 32.3 | <27.0 | |
CSF IgG/albumin | Not measured | 0.19 | <0.21 |
CSF synthesis rate (mg/24 hours) | 14.24 | <12 | |
Serum IgG (mg/dL) | 849 | 600 to 1500 | |
Serum albumin (mg/dL) | 4010 | 3200 to 4800 | |
Serum IgG/albumin | 0.2 | <0.4 | |
CSF myelin basic protein (ng/mL) | Not measured | 5.7 | <1.5 |