Clinical Misdiagnosis of COVID-19 Infection with Confusing Clinical Course

Table 1

Laboratory findings of the patient during admission.

Parameter	Baseline	Day 1	Day 2	Day 3	Day 4	Day 5	Day 6
Uric acid (3–5.5 mg/dl)	2.8
Cholesterol (130–200 mg/dl)	467			390			456
TG (40–160 U/L)	735		331		340		296
AST (10–40 U/L)	103	31	143	62	83	45	31
ALT (10–40 U/L)	121	49	91	45	38		21
Bili total (1–1.2 mg/dl)	7						2.4
Bili direct (0.1–0.4 mg/dl)	0.6						0.5
LDH (5–850 IU/L)	770						729
Albumin (3.5–5.2 gr/dl)	3.8	2.9	2.5	3.3	3.1	4	3.5
Total protein (5.7–8 gr/dl)	4.6		4.5		5.3		5.8
CRP (<6 mg/L)	12			12			11
ESR (<15 mm/hours)	28
Procalcitonin (<0.05 ng/ml)	1.6						0.1
CPK (24–195 U/L)	17
Fibrinogen (150–350 mg/dl)	245			180			147
WBC ((4–10) × 103/UL)	3.41		2.17	1.74		2.44	2.13
PMN ((2–7) × 103/UL)	16.6		14.7	26		6.6	3.8
Lymph ((0.8–4) × 103/UL)	72		70	68		61	69.6
RBC ((3.5–5.5) × 103/UL)	2.8	1.94	2.84	2.77	2.33	2.96	2.43
Hb (11–16 gr/dl)	7.6		5.2	7.8		8	6.6
Ferritin (30–220 ng/ml)	7720	6770	3480	24320	18800	27760	19360
Plt ((150–450) × 103/UL)	37		32	23		13	20
PT (11–13.8 second)	14						12.5
PTT (11–13.8 second)	33						36
INR (2, 3)	1.2						1
CD4 (31–64%)	52			50			12
CD8 (8–41%)	21			28			79
C3 (81–170 mg/dl)	149
C4 (9.2–34 mg/dl)	63
CH30 (70–150)	140
Antitetanus (<0.1 IU/ml)	0.24
Antidiphtheria (<0.1 IU/ml)	0.07
NBT (90–100)	100%
DAT	1/3200
SARS-CoV-2 (COVID-19) IgG (<0.9)	0.5
SARS-CoV-2 (COVID-19) IgM (<0.9)	0.1