Gastrointestinal infection-related disseminated intravascular coagulation mimicking Shiga toxin-mediated hemolytic uremic syndrome - implications of classical clinical indexes in making the diagnosis: A case report and literature review

Table 1 Complete blood cell counts on days 1 and 2

Item	Value		Reference interval
	Day 1	Day 2
WBC, × 109/L	2.67	23.53	3.89-9.93
Neutrophil, %	73.4	98	44.0-72.0
LYM, %	26.6	1.1	20.0-45.0
EOS, %	0	0	2.0-10.0
HGB, g/L	134	120	115-148
PLT, × 109/L	31	20	162-341

WBC: White blood cell; HBG: Hemoglobulin; PLT: Platelet count; NEUT: Neutrophil; LYM: Lymphocyte; EOS: Eosinophil.

Table 2 Clotting tests from days 1 to 4

Item	Value				Reference interval
	Day 1	Day 2	Day 3	Day 4
PT, s	12.9	19.2	15.4	13.1	11-14.5
PT-INR	1.0	1.64	1.25	1.02	0.8-1.2
APTT, s	34.9	53.9	45.6	36.6	26-40
FIB, g/L	2.53	1.51	3.19	3.51	2-4
TT, s	17.8	25	16.3	16.1	14-21
D-dimer, µg/mL	-	-	> 20	-	0.0-0.5

PT: Prothrombin time; INR: International normalized ratio; APTT: Activated partial thromboplastin time; FIB: Fibrinogen; TT: Thrombin time.

Table 3 Urinalysis on day 2

Item	Value	Reference interval
PRO	1+	Negative
WBC, /µL	86	0-22
RBC, /µL	95.7	0-18
URO	2+	Negative
ERY	2+	Negative

PRO: Protein; WBC: White blood cell; RBC: Red blood cell; BIL: Urobilinogen; ERY: Erythrocyte.

Table 4 Infection-related tests

Item	Value	Reference interval
CRP, mg/L1	55.13	0-10
PCT, ng/mL1	73	0.10-0.40
Ferritin, ng/mL2	1417.3	11.0-306.8
EBV, EBNA IgA1	Negative	Negative
Blood culture3	Negative	Negative
Urine culture3	Negative	Negative
Stool culture3	Negative	Negative
Clostridium-difficile-toxin A/B1	Negative	Negative
Rotavirus Ag1	Negative	Negative

¹Checked on day 2;

²Checked on day 3;

³Samples taken on days 2 and 3. CRP: C-reactive protein; PCT: Procalcitonin; EBVA-IgA: Epstein-Barr virus antigen immunoglobulin A; Ag: Antigen.