Delayed diagnosis of Lemierre’s syndrome in a patient with severe coronavirus disease 2019: importance of comprehensive oral and neck examination – a case report

Table 1 Laboratory findings at the time of transfer to our hospital

Biochemical tests
TP	5.7 g/dL	Na	122 mmol/L
Alb	2.1 g/dL	K	3.2 mmol/L
CK	573 U/L	Cl	85 mmol/L
AST	122 U/L	Ca	6.7 mg/dL
ALT	85 U/L	T-Bil	1.8 mg/dL
LD	537 U/L	D-Bil	1.2 mg/dL
ALP	146 U/L	CRP	32.5 mg/dL
γGTP	107 U/L	PCT	> 100 ng/mL
ChE	116 U/L	β-D glucan	< 6.0 pg/mL
Amy	69 U/L	HbA1c	5.9%
Cre	1.38 mg/dL
BUN	38.2 mg/dL
Blood cell count		Coagulation test
WBC	25,820 /uL	APTT	30.9 sec
Hb	13.1 g/dL	PT	78%
Plt	41,000 /uL	FDP	9.7 ug/mL
Blood gas analysis (8 L/min oxygen mask)
pH	7.435	HCO3-	22.4 mmol/L
PaCO2	33.9 mmHg	Lac	13 mg/dL
PaO2	68.2 mmHg	BE	-0.8

TP Total protein, Alb Albumin, AST Aspartate transaminase, ALT Alanine transaminase, Lactate dehydrogenase, ALP Alkaline phosphatase, γGTP γ-glutamyltransferase, ChE Cholinesterase, Amy amylase, Cre Creatinine, BUN Blood urea nitrogen, T-Bil Total bilirubin, D-Bil Direct bilirubin, CRP C-reactive protein, PCT Procalcitonin, HbA1c Hemoglobin A1c, WBC White blood cell, Hb Hemoglobin, Plt Platelet, APTT Activated partial thromboplastin time, PT Prothrombin time, FDP Fibrinogen/fibrin degradation products, pH Potential hydrogen, PaCO2 Partial pressure of carbon dioxide, PaO2 Partial pressure of oxygen, HCO3 Bicarbonate ion, Lac Lactate, BE Base excess

ISSN: 1471-2334