Case Report
Lemierre Syndrome: A Diagnosis behind the Veil
Table 1
Pertinent laboratory investigations during second ED visit and upon admission to the MICU.
| | Units | ED visit 2 | MICU admission | Reference interval |
| White blood cells | /L | 18.78 × 10(9) | 11.69 × 10(9) | 3.50–10.50/L | Red blood cells | /L | 4.35 × 10(12) | 4.36 × 10(12) | 4.32–5.72/L | Hemoglobin | g/dL | 13.3 | 12.9 | 13.5–17.5 g/dL | Hematocrit | % | 38.3 | 38.2% | 38.8–50.0%) | Platelets | /L | 128 × 10(9) | 114 × 10(9) | 150–450/L | Sodium | mmol/L | 139 | 136 | 136–145 mmol/L | Potassium | mmol/L | 4.2 | 3.3 | 3.5–5.1 mmol/L | Chloride | mmol/L | 100 | 101 | 98–107 mmol/L | Bicarbonate | mmol/L | 26 | 24 | 22–29 mmol/L | Blood urea nitrogen | mg/dL | 16 | 19 | 6–20 mmol/L | Creatinine, standardized | mg/dL | 1.14 | 1.11 | 0.70–1.20 mg/dL | Glucose | mg/dL | 142 | 150 | 70–139 mg/dL | C-reactive protein | mg/dL | 23.74 | | 0–0.05 ng/mL | Procalcitonin | ng/mL | 31.90 | | 0–0.05 ng/mL | Ferritin | ng/mL | 628 | | 30–400 ng/mL | Lactic acid | Mmol/L | | 3.2 | 0.5–2.2 mmol/L | Human immunodeficiency virus 1,2 antigen antibody | | Nonreactive | | Nonreactive | Monospot | | Negative | 329 | Negative | Influenza A and B rapid point of care | | Negative | 0.28 | Negative | SARS-CoV-2 by nucleic acid amplification test polymerase chain reaction | | Negative | | Negative | SARS-CoV-2 Ab, IgG, and IgM | | Reactive | | Nonreactive |
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