Case Report

Lemierre Syndrome: A Diagnosis behind the Veil

Table 1

Pertinent laboratory investigations during second ED visit and upon admission to the MICU.

UnitsED visit 2MICU admissionReference interval

White blood cells/L18.78 × 10(9)11.69 × 10(9)3.50–10.50/L
Red blood cells/L4.35 × 10(12)4.36 × 10(12)4.32–5.72/L
Hemoglobing/dL13.312.913.5–17.5 g/dL
Hematocrit%38.338.2%38.8–50.0%)
Platelets/L128 × 10(9)114 × 10(9)150–450/L
Sodiummmol/L139136136–145 mmol/L
Potassiummmol/L4.23.33.5–5.1 mmol/L
Chloridemmol/L10010198–107 mmol/L
Bicarbonatemmol/L262422–29 mmol/L
Blood urea nitrogenmg/dL16196–20 mmol/L
Creatinine, standardizedmg/dL1.141.110.70–1.20 mg/dL
Glucosemg/dL14215070–139 mg/dL
C-reactive proteinmg/dL23.740–0.05 ng/mL
Procalcitoninng/mL31.900–0.05 ng/mL
Ferritinng/mL62830–400 ng/mL
Lactic acidMmol/L3.20.5–2.2 mmol/L
Human immunodeficiency virus 1,2 antigen antibodyNonreactiveNonreactive
MonospotNegative329Negative
Influenza A and B rapid point of careNegative0.28Negative
SARS-CoV-2 by nucleic acid amplification test polymerase chain reactionNegativeNegative
SARS-CoV-2 Ab, IgG, and IgMReactiveNonreactive