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©The Author(s) 2025.
World J Clin Cases. Dec 6, 2025; 13(34): 111438
Published online Dec 6, 2025. doi: 10.12998/wjcc.v13.i34.111438
Published online Dec 6, 2025. doi: 10.12998/wjcc.v13.i34.111438
Table 1 Routine laboratory examination upon arrival at the emergency department
| Parameter | Measured value | Normal value |
| White blood cells (103/µL) | 8.2 | 3.9-9.7 |
| Neutrophils (%) | 79 | 37-72 |
| Lymphocytes (%) | 17 | 25-48 |
| Monocytes (%) | 3 | 2-12 |
| Eosinophils (%) | 0 | 1-9 |
| Basophils (%) | 1 | 0-2 |
| Hemoglobin (g/dL) | 15.9 | 13.4-17.1 |
| Platelets (103/µL) | 190 | 153-346 |
| Aspartate transaminase (IU/L) | 19 | 5-37 |
| Alanine aminotransferase (IU/L) | 20 | 6-43 |
| Lactic acid dehydrogenase (U/L) | 192 | 124-222 |
| Alkaline phosphatase (U/L) | 83 | 38-113 |
| γ-Glutamyl transpeptidase (IU/L) | 31 | 0-75 |
| Total bilirubin (mg/dL) | 0.9 | 0.4-1.2 |
| Total protein (g/dL) | 7.7 | 6.5-8.5 |
| Albumin (g/dL) | 4.7 | 3.8-5.2 |
| Creatine kinase (U/L) | 59 | 57-240 |
| Blood urea nitrogen (mg/dL) | 13 | 9-21 |
| Creatinine (mg/dL) | 0.79 | 0.6-1 |
| Amylase (IU/L) | 112 | 43-124 |
| Sodium (mEq/L) | 136 | 135-145 |
| Potassium (mEq/L) | 4.3 | 3.5-5 |
| Chloride (mEq/L) | 99 | 96-107 |
| Calcium (mg/dL) | 8.8 | 8.5-10.2 |
| Inorganic phosphorus (mg/dL) | 3.1 | 2-4.5 |
| C-reactive protein (mg/dL) | 0.03 | 0-0.29 |
| Plasma glucose (mg/dL) | 238 | 65-109 |
| Glycosylated hemoglobin A1c (NGSP) (%) | 11 | 4.6-6.2 |
| Activated partial thromboplastin time (seconds) | 24.8 | 23-36 |
| Prothrombin time (International normalized ratio) | 1 | 0.85-1.15 |
| Fibrinogen and fibrin degradation products (μg/mL) | 8.9 | 0-10 |
| D-dimer (μg/mL) | 1 | 0-1 |
| Ammonia (μg/dL) | 31 | 28-70 |
| Serum osmolality (mOsm) | 295 | 275-290 |
| Thyroid-stimulating hormone | 0.16 | 0.56-4.3 |
| Free triiodothyronine (pg/mL) | 1.08 | 2.4-4.5 |
| Free thyroxine (ng/dL) | 1.52 | 1-1.7 |
| Lactic acid (mmol/L) | 1.3 | 0.44-1.78 |
Table 2 Cerebrospinal fluid findings taken on 2nd hospital day
| Parameter (Unit) | Measured value | Normal value |
| Appearance | Clear | Clear |
| pH | 7.4 | 7.4-7.6 |
| Initial pressure (cmH2O) | 16 | 50-180 |
| Cell count (/µL) | 2 | ≤ 5 |
| Mononuclear cell | 2 | ≤ 5 |
| Neutrophilic cell | 0 | 0 |
| Total protein (mg/dL) | 48.9 | ≤ 45 |
| Glucose (mg/dL) | 146 | 45-80 |
| Sodium (mEq/L) | 145 | 143-154 |
| Potassium (mEq/L) | 2.8 | 2.7-3 |
| Chloride (mEq/L) | 120 | 120-130 |
| VZV DNA quantitative | < 1.0 × 102 | 0 |
| HSV DNA quantitative | < 1.0 × 102 | 0 |
| VZV DNA qualitative | Negative | Negative |
| HSV DNA qualitative | Positive | Negative |
- Citation: Usuda D, Furukawa D, Imaizumi R, Ono R, Kaneoka Y, Nakajima E, Kato M, Sugawara Y, Shimizu R, Inami T, Kawai K, Matsubara S, Tanaka R, Suzuki M, Shimozawa S, Hotchi Y, Osugi I, Katou R, Ito S, Mishima K, Kondo A, Mizuno K, Takami H, Komatsu T, Nomura T, Sugita M. Recurrence of acyclovir-resistant herpes encephalitis in an immunocompromised patient: A case report. World J Clin Cases 2025; 13(34): 111438
- URL: https://www.wjgnet.com/2307-8960/full/v13/i34/111438.htm
- DOI: https://dx.doi.org/10.12998/wjcc.v13.i34.111438