Table 1 Patient data at the time of presentation to the Emergency Department
From: COVID-19 masquerading as a non-convulsive status epilepticus
Value (normal range) | |
|---|---|
Venous blood puncture | |
Hemoglobin, g/dL (12.0–16.0) | 13.4 |
White cell count, ×109/L (3.5–11) | 8.07 |
Neutrophil count, × 109/L (1.50–6.70) | 6.44 |
Lymphocyte count, × 109/L (1.20–3.50) | 0.95 |
Platelet count, ×109/L (150–440) | 202 |
C-Reactive Protein, mg/L (<5.0) | 56.3 |
D-Dimer, ng/mL (0–500) | 7393 |
PT, seconds (9.9–11.8) | 11.8 |
APTT, seconds (21.6–28.7) | 24 |
Anti-Factor Xa activity, U anti-Xa/mL | 1.06 |
Sodium, mmol/L (136–145) | 130 |
Potassium, mmol/L (3.4–4.4) | 3.8 |
Chloride, mmol/L (98–107) | 89 |
Bicarbonate, mmol/L (23–29) | 27 |
Urea, mg/dL (17–48) | 60 |
Creatinine, mg/dL (0.50–0.90) | 1.73 |
Serum glucose, mg/dL (70–100) | 142 |
Alanine transaminase, U/L (<33) | 19 |
Creatine kinase, U/L (26–192) | 2376 |
Myoglobin, mcg/L (<58) | 6063 |
Lactate, mmol/L (0.7–2.0) | 1.6 |
Ammonia, mcg/dL (18.7–86.9) | 21 |
Bioactive monomeric prolactin, mcg/L (3.5–18.0) | 29.4 |
TSH, mU/L (0.27–4.20) | 3.78 |
Peripheral venous blood culture set (2 independent sets) | Negative |
Arterial blood puncture at ED admission (FiO2 100%) | |
pH (7.35–7.45) | 7.47 |
pCO2, mm Hg (32–45) | 35 |
pO2, mm Hg (75–104) | 234 |
P/F ratio (>300) | 234 |
Saturation O2, % (95–98) | 100 |
Carboxyhemoglobin, % (<1.0) | 0.9 |
Methemoglobin, % (<0.5) | 0.7 |
Arterial blood puncture at ICU admission (FiO2 40%) | |
pH (7.35–7.45) | 7.48 |
pCO2, mm Hg (32–45) | 35 |
pO2, mm Hg (75–104) | 102 |
P/F ratio (>300) | 255 |
Saturation O2, % (95–98) | 98 |
CSF examination | |
CSF macroscopic examination | Crystal clear |
CSF opening pressure, cmH20 | - |
CSF red cell, × 109/L (0–5) | 0.1 |
CSF white cell, × 109/L (0–5) | 2.8 |
CSF glucose, mg/dL (45–80) | 75.8 |
CSF protein, g/L (0.15–0.45) | 0.44 |
CSF oligoclonal bands | - |
CSF lactate, mmol/L (1.11–2.44) | 3.76 |
CSF PCR for SARS-CoV2 | Negative |
CSF FilmArray Meningitis/Encephalitis Panel* | Negative |
CSF PCR for Herpes Simplex 1 | Negative |
CSF bacterial and fungal culture | Negative |
CSF antinuclear antibodies | Negative |
Antibodies against NMDAR, LGi1, CASPR2, GABA-B1/B2, DPPX, AMPA1/2 in serum, and CSF | Negative |
Paraneoplastic anti-neuronal antibodies in serum and CSF | Negative |
Urine analysis | |
Leucocytes/μL (<10) | 26 |
Erythrocytes/μL (<12) | 26 |
Epithelial cells | Absent |
Hyalin casts | +++ |
Crystals | Absent |
Bacteria | + |
Fungi | Absent |
Urine culture set | Negative |