Case Report

Severe Pharyngodynia Followed by Migratory Polyarthritis and High Fever in Young Immigrants: Remember That Rheumatic Fever Is Still Relevant in 2020!

Table 2

Laboratory findings of patients 1 and 2 on admission.

Patient 1Patient 2Reference values

WBC (103/μL)13.416.34.5–10.5
Neutrophils (103/μL)9.813.21.5–6.5
Lymphocytes (103/μL)2.11.81.2–3.8
Monocytes (103/μL)1.10.90.2–1
Eosinophils (103/μL)00.030–0.7
Basophils (103/μL)0.30.20–0.2
Ht (%)33.634.939–46
Hb (g/dL)10.211.513–16
PLT (103/μL)354446140–440
ESR (mm)102952–15
INR1.51.20.85–1.15
CRP (mg/dL)18.3230–0.7
Urea (mg/dL)3735<43
Creatinine (mg/dL)0.70.840.7–1.2
Na+/K+ (mmol/L)131/4.1133/4.7136–146/3.5–5.3
Total protein (g/dL)7.97.26.4–8.3
Albumin (g/dL)4.33.43.5–5.2
Bilirubin (mg/dL)1.30.85<1.1
AST/ALT (IU/L)46/4349/44<40
ALP/γ-GT (IU/L)78/47160/167<120/<38
Serum protein electrophoresisPolyclonal increase of γ-globulinsPolyclonal increase of γ-globulins
ASTO (IU/mL)8341120<200

WBC = white blood cells; Ht = hematocrit; Hb = hemoglobin; PLT = platelets; ESR = erythrocyte sedimentation rate; INR = international normalized ratio; CRP = C-reactive protein; AST = aspartate aminotransferase; ALT = alanine aminotransferase; ALP = alkaline phosphatase; γ-GT = gamma-glutamyl transferase; ASTO = antibodies to streptolysin-O antigens.