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Volume 10, Number 9—September 2004

Research

Outbreak of Hantavirus Pulmonary Syndrome, Los Santos, Panama, 1999–2000

Vicente Bayard*†, Paul T. Kitsutani‡Comments to Author , Eduardo O. Barria*, Luis A. Ruedas§, David S. Tinnin¶, Carlos Muñoz#, Itza B. de Mosca#, Gladys Guerrero**, Rudick Kant††, Arsenio Garcia*, Lorenzo Caceres*, Fernando G. Gracia*, Evelia Quiroz*, Zoila de Castillo*, Blas Armien*, Marlo Libel††, James N. Mills‡, Ali S. Khan‡, Stuart T. Nichol‡, Pierre E. Rollin‡, Thomas G. Ksiazek‡, and Clarence J. Peters
Author affiliations: *Gorgas Memorial Institute for Health Studies, Panama City, Panama; †University of Panama, Panama City, Panama; ‡Centers for Disease Control and Prevention, Atlanta, Georgia, USA; §University of Wisconsin, Madison, Wisconsin, USA; ¶University of New Mexico, Albuquerque, New Mexico, USA; #Ministry of Health, Panama City, Panama; **Complejo Hospital A.A.M., Panama City, Panama; ††Pan American Health Organization, Washington DC, USA

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Table 3

Laboratory values of confirmed HPS patients on admission and during hospitalizationa

Test No. of cases Median value (admission) Range No. of cases Median maximum value (admission + hospitalization) Range Median minimum value (admission + hospitalization) Range
Leukocyte count (x1,000/mm3) 7 6.4 3.6–14.1 9 11.4 5.7–28.1
Hematocrit (%) 7 39.7 35.1–44.2 9 41.0 31.4–52.4
Platelet (x1,000/mm3) 7 84 47–186 9 60 26–429
BUN (mg/dL) 2 7 5–9 8 26 1–56
Creatinine (mg/dL) 3 0.8 0.6–1.0 8 2.2 1.0–3.3
CPK (IU/L) 6 240 38–12,840
LDH (U/L) 1 219 219b 7 1028 32–3,775
Albumin (g/dL) 7 2.5 1.2–3.2
AST (U/L) 2 42 40–43 7 223 46–983
ALT (U/L) 2 33 31–35 7 168 32–570
Bilirubin, total (mg/dL) 7 1.1 0.8–8.0
Bilirubin, direct (mg/dL) 7 0.6 0.1–6.5
Amylase (U/L) 6 74 38–437
PT (s) 1 11.7 11.7–11.7 4 13.7 11.3–22.0
PTT (s) 1 31.2 31.2b 4 28 27–167
Urine leukocyte count (/hpf) 5 9 6–35 9 8 1–35
Urine erythrocyte count (/hpf) 4 12 4–25 9 10 1–35

aHPS, hantavirus pulmonary syndrome; ALT, alanine aminotransferase; AST, aspartate aminotransferase; BUN, blood urea nitrogen; CPK, creatinine phosphokinase; LDH, lactate dehydrogenase; PT, prothrombin time; PTT, partial thromboplastin time; hpf, high power field.
bThere was only one case for this laboratory category.

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