Bartonella endocarditis and diffuse crescentic proliferative glomerulonephritis with a full-house pattern of immune complex deposition

Table 1 Laboratory results at presentation and at 1 year of follow up

	Presentation	Follow-up	Reference Range
Hemoglobin (g/dl)	7.7	13	12.0–15.0
WBC (× 10⁹/L)	7.2	8.6	3.6–10.6
Platelet (×109/L)	192	387	150–450
BUN (mg/dl)	64	19	5.0–20.0
Creatinine (mg/dl)	2.5	0.68	0.4–0.9
eGFR(ml/min/1.73m²)	27.6	88	≥ 90
Total protein (g/dl)	6	NA	6.7–8.2
Albumin (g/dl)	2.7	4.5	3.5–4.7
LDH (units/L)	365	NA	140–270
ALT (uints/L)	3	NA	7–52
ESR (mm/hr)	32	NA	0–20
CRP (mg/dl)	5.2	NA	≤ 1.0
Complement C3 (mg/dl)	34	NA	65–180
Complement C4 (mg/dl)	10	NA	13–52
Anti-nuclear antibody	< 1:80	NA	< 1:80
Anti-dsDNA antibody (IU/ml)	0.8	NA	0–9.9
Smith antibody	negative	NA	negative
anti-RNP antibodies	negative	NA	negative
cardiolipin antiobody (mPL unit)	negative	NA	0–9.9
ANCA	negative	NA	negative
Anti-MPO (AU/ml)	0	NA	0–19
Anti-PR3 (AU/ml)	0	NA	0–19
Urine protein (mg/dl)	500	100	0–15
Urine protein creatinin ratio	12.8	0.98	< 0.2
Urine RBC (/HPF)	> 100	3–5	0–2
Urine WBC (/HPF)	51–100	0–5	0–5

Abbreviations: ALT alanine aminotransferease, ANCA antineutrophil cytoplasmic antibodies, Anti-MPO anti-myeloperoxidase antibodies, Anti-PR3 anti-proteinase-3 antibodies, Anti-RNP antinuclear ribonucleoprotein antibodies, BUN blood urea nitrogen, CRP C-reactive protein, ESR Eerythrocyte sedimentation rate, eGFR estimated glomerular filtration rate, HPF high power field, LDH Lactate dehydrogenase, RBC red blood cells, WBC white blood cells

ISSN: 1471-2369