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Volume 24, Number 5—May 2018
CME ACTIVITY - Synopsis

Two Cases of Israeli Spotted Fever with Purpura Fulminans, Sharon District, Israel

Regev CohenComments to Author , Frida Babushkin, Maurice Shapiro, Martina Uda, Yafit Atiya-Nasagi, Dar Klein, and Talya Finn
Author affiliations: The Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel (R. Cohen); Laniado Hospital, Netanya, Israel (R. Cohen, F. Babushkin, M. Shapiro, M. Uda, T. Finn); The Israel Institute for Biological Research, Ness-Ziona, Israel (Y. Atiya-Nasagi, D. Klein)

Main Article

Table 1

Laboratory findings at hospitalization for 5 case-patients with Israeli spotted fever, Sharon District, Israel*

Parameter Reference range Case-patient 1 Case-patient 2 Case-patient 3 Case-patient 4 Case-patient 5
Leukocytes, cells/μL 4,000–11,000 10,700 7,500 5,000 7,700 8,600
PMNs, % 40–75 87 86 81 85 91
Platelets/μL 150,000–400,000 37,000 73,000 91,000 75,000 139,000
Sodium, mmol/L 136–145 126 123 130 133 127
Total bilirubin, mg/dL 0.3–1.4 2.5 0.4 0.9 0.7 0.8
AST, IU/L 0–32 106 184 167 65 69
ALT, IU/L 0–33 51 154 139 68 66
GGT, IU/L 0–40 50 103 62 26 106
LDH, IU/L 240–480 1044 875 1195 466 536
Creatinine, mg/dL 0.5–0.9 1.7 1.4 1.0 1.4 1.0
Creatine kinase, IU/L 39–190 298 1933 152 159 100
C-reactive protein, mg/L 0–5 122 350 164 88 240

*ALT, alanine aminotransferase; AST, aspartate aminotransferase; GGT, γ-glutamyl transferase; LDH, lactate dehydrogenase; PMN, polymorphonuclear leukocytes.

Main Article

Page created: April 17, 2018
Page updated: April 17, 2018
Page reviewed: April 17, 2018
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