Table 1 Summary of investigations done for the patient
Routine investigations | |||||||
|---|---|---|---|---|---|---|---|
Lab values | Reference ranges | Lab values | Reference ranges | ||||
Heamatology | Haemoglobin | 13.4 g/dl | 12–16 g/dl | Serum | Sodium | 137 mEq/L | 135–145 Meq/L |
Red blood cells (RBC) | 4.6million/cu.mm | 4.5–5.5 million/cu.mm | Potassium | 4.2 mEq/L | 3.5–5.5 mEq/L | ||
Total leukocyte count | 14,000/cu.mm | 4000–11,000/cu.mm | Urea | 27 mg/dl | 7–22 mg/dl | ||
Platelet count | 2,60,000/cu.mm | 1.5–4.5 lakhs/cu.mm | Creatinine | 0.9 mg/dl | 0.6–1.2 mg/dl | ||
ESR | 11 mm | 0-5 mm | Fasting blood sugar | 168 mg/dl | < 200 mg/dl | ||
PCV | 44% | 45–55% | Glycosylated Haemoglobin | 5.30% | < 5.7% | ||
Specific investigations | |||||||
|---|---|---|---|---|---|---|---|
Lab values | Reference ranges | Lab values | Reference ranges | ||||
Urine | Drug screening | Negative | CSF | Glucose | 55 mg/dl | (40-70mg/dl) | |
Routine examination | no casts, glucose, protein, blood or bilirubin | Protein | 45 mg/dl | (30-40mg/dl) | |||
Microscopic examination | No bacteria | ADA | 1.84 IU/L | (< 5 IU/L) | |||
Culture and sensitivity | No growth of aerobic/anaerobic bacteria | Cytology | 4 cells/cu.mm (3 PMNL, 1 leukocyte) | < 5 cells / cumm | |||
Auto immune encephalitis Panel | Negative | ||||||
Other investigations | |||||||
|---|---|---|---|---|---|---|---|
Lab values | Reference ranges | Lab values | Reference ranges | ||||
LFT | Total bilirubin | 1 mg/dl | Miscellaneous | TSH | 1.9 IU/L | ||
SGPT | 48 IU/L | CRP | 3.6 | ||||
SGOT | 34 IU/L | HBsAg, anti-HCV, HIV-I,II | Negative | ||||
INR | 1.1 | Anti-TPO | Strongly positive (1:1300 titres) | ||||
aPTT | 25.8 | Blood C/S | No growth of aerobic/anaerobic bacteria | ||||
Radiological investigations | ||
|---|---|---|
USG whole abdomen | Normal impression: no organomegaly, no visible lymph node abnormality | |
MRI brain | T2/FLAIR hyper-intense signal changes around bilateral medial temporal lobe and thalamus | |