Case Report
A Patient with Concurrent Legionella and COVID-19 Infection in a UK District General Hospital
Table 1
Laboratory investigations detailing a positive coronavirus swab test and initial hyponatremia, ∗ indicates abnormal results.
| | | | Units | Values on admission | Values 2nd day of admission |
| | Haemoglobin | (130–180) | g/L | 147 | 140 | | White cell count | (4.0–11.0) | ×10 9/l | 10 | 6.2 | | Platelets | (150–450) | ×10 9/l | 225 | 244 | | Mean corpuscular volume | (76–96) | fl | 95 | 93 | | Red blood cells | (4.50–5.50) | ×10 12/l | 4.56 | ∗4.31 | | Haematocrit | (0.40–0.51) | /L | 0.435 | 0.402 | | Mean corpuscular haemoglobin | (27.0–32.0) | pg | ∗32.2 | ∗32.5 | | Neutrophils | (2.0–8.0) | ×10 9/l | ∗9.3 | 5.6 | | Lymphocytes | (1.0–4.8) | ×10 9/l | ∗0.5 | ∗0.4 | | Monocytes | (0.2–0.8) | ×10 9/l | ∗0.1 | ∗0.1 | | Eosinophils | (0.0–0.4) | ×10 9/l | 0 | 0 | | Basophils | (0.0–0.2) | ×10 9/l | 0.1 | 0.1 | | Sodium | (133–146) | mmol/l | ∗129 | 135 | | Potassium | (3.5–5.3) | mmol/l | 4.6 | 4.1 | | Creatinine | (62–115) | umol/L | 105 | 67 | | Urea | (2.5–7.8) | mmol/l | ∗9.9 | 6.4 | | Estimated glomerular filtration rate | (60–150) | ml/min | 64 | 96 | | Alkaline phosphatase | (30–130) | IU/L | 58 | 43 | | Alanine aminotransferase | (10–37) | IU/L | 18 | 18 | | Albumin | (35–50) | g/l | ∗25 | ∗19 | | Total bilirubin | (0.0–21) | umol/l | 15 | 9 | | C-reactive protein | (0.0–5) | mg/l | ∗527 | ∗480 | | Ferritin | (20–275) | ug/l | ∗631 | — | | Lactate dehydrogenase | (125–243) | IU/L | ∗421 | — | | Troponin | (0.0–1.9) | ng/L | ∗9.8 | — | | Troponin (repeat at 3 hours) | (0.0–1.9) | ng/L | ∗8.1 | | | D-dimer | (0.0–500) | ng/ml | ∗7088 | — | | Procalcitonin | (0.0–0.5) | ug/L | ∗6.8 | — | | Coronavirus polymerase chain reaction | | | Positive | Positive |
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