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Volume 24, Number 3—March 2018
Dispatch

Severe Pneumonia Caused by Toxigenic Corynebacterium ulcerans Infection, Japan

Ikkoh Yasuda, Hisayo Matsuyama, Tomoko Ishifuji, Yoshiro Yamashita, Masahiro Takaki, Konosuke Morimoto, Motohiro Sekino, Katsunori Yanagihara, Tatsuya Fujii, Masaaki Iwaki, Akihiko Yamamoto, Koya Ariyoshi, and Takeshi TanakaComments to Author 
Author affiliations: Nagasaki University Hospital, Nagasaki, Japan (I. Yasuda, Y. Yamashita, M. Takaki, K. Morimoto, M. Sekino, K. Yanagihara, K. Ariyoshi, T. Tanaka); Kawakita General Hospital, Suginami, Tokyo, Japan (H. Matsuyama, T. Ishifuji, T. Fujii); National Institute of Infectious Diseases, Shinjuku, Tokyo (M. Iwaki, A. Yamamoto)

Main Article

Table 1

Laboratory data at admission for 2 case-patients with severe pneumonia, Japan

Test Case-patient 1 Case-patient 2
Leukocytes, cells/mm3 13,800 23,200
Neutrophils, % 85 90
Lymphocytes, % 4 4.2
Erythrocytes, × 104/µL 448 428
Hemoglobin, g/dL 12.6 13.1
Hematocrit, % 41.2 38.4
Platelets, × 104/µL 24 26.2
Total bilirubin, mg/dL 0.1 0.6
Aspartate aminotransferase, IU/L 26 18
Alanine aminotransferase, IU/L 20 14
Lactate dehydrogenase, IU/L 238 249
Blood urea nitrogen, mg/dL 43 11
Creatinine, mg/dL 1.31 0.7
C-reactive protein, mg/dL
13.58
31.8
Administered oxygen
  Mask, 10 L oxygen
  Nasal, 2 L oxygen
Arterial blood gas levels
PaCO2, mm Hg*   56.1   36.7
PaO2, mm Hg†
  69.1
  72.2
pH   7.263   7.45
Bicarbonate, mmol/L   24.5   25
Base excess, mmol/L   −2.7   1.3
Lactate, mmol/L   0.9   Not tested

*Arterial carbon dioxide partial pressure
†Arterial oxygen partial pressure

Main Article

Page created: February 16, 2018
Page updated: February 16, 2018
Page reviewed: February 16, 2018
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