HIV-Associated Disseminated Emmonsiosis, Johannesburg, South Africa

Technical Appendix Table 1. Laboratory results at admission for 3 patients with HIV-associated disseminated emmonsiosis, Johannesburg, South Africa* Laboratory investigation Case 1 Case 2 Case 3 Reference range CD4 count 5 cells/μL 3 cells/μL 0 cells/μL 50–2010 cells/μL Leukocyte count 16.91 × 10/L 1.52 ×1 0/L 1.84 × 10/L 4.00–10.00 × 10/L Hemoglobin 8.7 g/dL 11.7 g/dL 7.8 g/dL 14.3–18.3 g/dL Mean cell volume 91 fL 90 fL 87.6 fL 83–101 fL Platelets 523 × 10/L 74 × 10/L 122 × 10/L 150–400 × 10/L Sodium 121 mmol/L 111 mmol/L 128 mmol/L 136–145 mmol/L Potassium 3.7 mmol/L 4 mmol/L 4.8 mmol/L 3.5–5.1 mmol/L Chloride 77 mmol/L 79 mmol/L 101 mmol/L 98–107mmol/L Bicarbonate 30 mmol/L 16 mmol/L 16 mmol/L 23–29 mmol/L Urea 31.4 mmol/L 5.5 mmol/L 4.8 mmol/L 2.1–7.1 mmol/L Creatinine 590 μmol/L 55 μmol/L 64 μmol/L 64–104 μmol/L Total bilirubin 5 μmol/L 12 μmol/L 7 μmol/L 5–21 μmol/L Conjugated bilirubin 3 μmol/L 9 μmol/L 5 μmol/L 0–3 μmol/L Total protein 51 g/L 56 g/L 46 g/L 60–78 g/L Albumin 11 g/L 22 g/L 13 g/L 35–52 g/L Alkaline phosphatase 400 U/L 301 U/L 131 U/L 40–120 U/L γ-glutamyl transpeptidase 396 U/L 228 U/L 92 U/L 0–60 U/L Alanine transaminase 37 U/L 53 U/L 40 U/L 10–40 U/L Aspartate transaminase 266 U/L 94 U/L 145 U/L 15–40 U/L Hepatitis A IgM antibody Neg Neg ND – Hepatitis B surface antigen Neg Neg ND – Hepatitis B core IgM antibody Neg Neg ND – Hepatitis C antibody Neg Neg ND – Cryptococcal serum antigen Neg Neg Neg – CSF polymorphonuclear cells 0 0† 0 0 CSF lymphocytes 0 0† 0 0 CSF erythrocytes 0 18† 30 0 *CD4, CD4+ T-cell; CSF, cerebrospinal fluid; ND, not done; Neg, negative; NG, no growth. †Lumbar puncture results reported are from a hospitalization in June 2013; meningeal disease was not suspected during the August 2013 hospitalization when the patient was diagnosed with emmonsiosis.