Salmonella-induced Aortic Aneurysm, a Case Study

Catherine E. Newkirk

doi:10.29074/ascls.2018001008

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Table 1.

Hematology Profile

	Day	1	2	4	6	7	12	14	14	16	16	17*	17
	Time	7:00	7:00	7:00	7:00	7:00	7:00	7:00	12:00	14:15	18:20	3:00	10:00
	Normal Range
White Blood Cell	(4.8–10.8 × 10⁹/L)	6.1	6.7	7.6	6.4	5.4	17.9(H)	10.5	10.6	9.8	8.3	12.5(H)	43(L)
Red Blood Cell	(4.2–5.4 × 10¹²/L)	3.87(L)	3.76(L)	3.57(L)	3.36(L)	3.26(L)	3.36(L)	2.99(L)	2.84(L)	1.90(L)	1.53(L)	2.77(L)	2.13(L)
Hemoglobin	(12.0–16.0 g/dL)	12.9	12.2	11.6(L)	10.7(L)	10.4(L)	10.5(L)	93(L)	89(L)	6.0(L)	47(L)	8.3(L)	61(L)
Hematocrit	(37.0–47.0%)	36.8(L)	35.3(L)	32.9(L)	31.2(L)	29.9(L)	30.9(L)	27.5(L)	26.3(L)	17.8(L)	14.5(L)	24.8(L)	19.3(L)
Mean Corpuscular Volume	(81–99 fl)	95.1	93.9	92.2	92.9	91.7	92.0	92.0	92.6	93.7	94.8	89.5	90.6
Mean Corpuscular Hemoglobin Mean Corpuscular Hemoglobin Concentration	(27–31 pg) (33–37%)	33.3(H)35.1	32.4(H)34.6	32.5(H)35.3	31.8(H)34.3	31.9(H)34.8	31.3(H)34.0	31.1(H)33.8	31.3(H)33.8	31.6(H)33.7	30.732.4(L)	30.033.5	28.631.6(L)
Platelets	(120–45 0 × 10⁹/L)	57.0(L)	70.0(L)	83.0(L)	129.0	150.0	233.0	206.0	183.0	163.0	142.0	_(L⁾_.0⁽₃.0	25.0(L)
Red Cell Distribution Width	(11.8–15.6)	14.0	14.2	13.5	13.7	13.4	13.9	14.0	14.2	14.1	14.9	14.5	13.0
Lymphocytes	(10–50%)	---	12.5	---	---	17.0	---	---	7.2(L)	---	7.2(L)	7.2(L)	15.8
Mixed Cell	(1–15%)	---	10.1	---	---	5.6	---	---	12.3	---	7.6	6.3	11.3
Neutrophils	(45–90%)	---	5.2	---	---	77.4	---	---	80.5	---	85.2	86.5	72.9
Absolute Lymphocytes	(0.5–3.7 × 10⁹/L)	---	0.8	---	---	0.9	---	---	0.8	---	0.6	0.9	0.7
Absolute Mixed Cell	(0.1–1.1 × 10⁹/L)	---	0.7	---	---	0.3	---	---	13(H)	---	0.6	0.8	0.5
Absolute Neutrophils	(2.2–7.2 × 10⁹/L)	---	5.2	---	---	4.2	---	---	8.5(H)	---	7.1	10.8(H)	3.1
Manual Differential
Segmented Neutrophils		78	82	87	84		97		88		81	91
Bands		10	1	2	0		0		2		5	0
Lymphocytes		5	9	8	11		1		6		13	8
Monocytes		7	8	3	5		2		4		1	1

*After transfusion, 3 units of packed RBCs

g/dL = grams per deciliter, fl = femtoliters, pg = picograms, /L = per liter (H) = high, (L) = low

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Table 2.

Complete Blood Count (CBC) (1 month prior to hospital admission)

	Normal Range
White Blood Cell	(4.8–10.8 × 10⁹/L)	2.5(L)
Red Blood Cell	(4.2–5.4 × 10¹²/L)	3.46(L)
Hemoglobin	(12.0–16.0 g/dL)	11.8(L)
Hematocrit	(37.0–47.0%)	35.0(L)
Mean Corpuscular Volume	(81–99 fl)	97.0
Mean Corpuscular Hemoglobin	(27–31 pg)	32.7(H)
Mean Corpuscular Hemoglobin Concentration	(33–37%)	33.2
Platelets	(120–450 × 10⁹/L)	74.0(L)
Reticulocytes	(0.5–15%)	1.1
Red Cell Distribution Width	(11.8–15.6)	15.0
Lymphocytes	(10–50%)	60.2(H)
Mixed Cell	(1–15%)	9.4
Neutrophils	(45-90%)	30.4(L)
Absolute Lymphocytes	(0.5–3.7 × 10⁹/L)	1.6
Absolute Mixed Cell	(0.1–1.1 × 10⁹/L)	0.2
Absolute Neutrophils	(2.2–7.2 × 10⁹/L)	0.8(L)
Manual Differential
Segmented Neutrophils		30
Bands		1
Lymphocytes		59
Monocytes		9
Basophils		1