Case Report
COVID-19 Infection in Spinal Muscular Atrophy Associated with Multisystem Inflammatory Syndrome
Table 1
Investigations before and during COVID-19 course of illness.
| Tests | Reference range | Before COVID-19 | COVID-19 suspected | COVID-19 identified | During COVID-19 course |
| CBC | Hemoglobin | 10.5–14.0 g/dL | 10.7 | 9.4 | 7.7 | 9.7 | WBCs | 5–15 × 103 µL | 16.6 | 9.6 | 31.6 | 86.1 | Lymphocytes | 15–80% of WBC count | 12.7% | 8.9% | 5.4% | 2.0% | Platelets | 150–400 × 103 µL | 474 | 270 | 529 | 811 |
| Biochemistry | Creatinine | 55–110 µmol/l | 12 | 6 | 11 | 6 | LDH | 135–225 U/L | — | 353 | 363 | 464 |
| Coagulation | INR | 1-2 | 1.02 | 0.88 | 1.1 | 1.15 | PT | 11–14 sec | 13.8 | 12 | 14.8 | 15.4 | PTT | 30–40 sec | 37.5 | 31 | 26.3 | 22.9 | D-dimer | 0–0.55 µg/ml | — | 1.5 | 1.3 | 1.5 |
| Inflammatory markers | CRP | 0–5 mg/L | 19.8 | 37.2 | 318 | 219.7 | ESR | 0–10 mm/hr | 123 | 126 | 280 | 150 | Ferritin | 13–400 ng/ml | — | 917 | 1732 | 2000 |
| Cultures | Viral panel | — | Negative | Negative | Negative | Negative | COVID-19 | — | — | Negative | Positive | Positive |
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CBC, complete blood count; CRP, C-reactive protein; COVID-19, coronavirus disease-2019; ESR, erythrocyte sedimentation rate; INR, International Normalized Ratio; LDH, lactate dehydrogenase; PT, prothrombin time; PTT, partial thromboplastin time; WBC, total white blood cells.
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