Case 1 |
Case 2 | |
Haematology | ||
Leucocyte peak (×109/L) |
18.3 |
19.0 |
Neutrophil peak (×109/L) |
15.2 |
13.7 |
Lymphocyte peak (×109/L) |
3.5 |
2.3 |
Eosinophil peak (×109/L) |
0.9 |
2.5 |
Platelets |
Normal |
Normal |
Haemoglobin nadir (g/L) |
79 |
74 |
ESR (mm/hour) |
104 |
44 |
Biochemistry | ||
Creatinine peak (umol/L) |
Normal |
153 |
CRP peak (mg/l) |
321 |
280 |
ALT (IU/L) |
122 |
Normal |
Microbiology |
Nasal swab: Moraxella catarrhalis Ear swab: Pseudomonas aeruginosa Sputum negative for acid-fast bacilli, PCR negative ASOT 1600 IU/ml No growth on blood or urine culture Negative viral throat swab and MCS throat swab |
No positive microbiology including Monospot, Mantoux and TSpot |
Urine dipstick |
On day of admission: 1+pro, 4+Hb, 2+leu, 2+ket One week into admission: 3+pro, 4+Hb, 2+leu, 2+ket |
Three days prior to admission: 2+Hb, otherwise normal |
Radiology |
Echocardiogram: normal CXR at admission: normal CXR after 1 week: see figure 1 CT head: pansinusitis Abdominal USS: mild hepatomegaly, diffusely echogenic kidneys |
Echocardiogram: normal CT chest at local hospital: see figure 2 CXR on admission to PICU: bilateral consolidation with rounded lucency in right lower zone suggestive of cavity formation |
ALT, alanine aminotransferase; ASOT, anti-streptolysin O titre; CRP, C-reactive protein; CT, computed tomography; CXR, chest X-ray; ESR, erythrocyte sedimentation rate; Hb, haemoglobin; leu, leucocytes; ket, ketones; MCS, microscopy, culture, and sensitivity; PICU, paediatric intensive care unit; pro, protein; TSpot, measures T lymphocytes primed to Mycobacterium tuberculosis antigens; USS, ultrasound scan.