In the current case, a few days before admission, the patient's clinical and laboratory findings were nonspecific (pruritic erythematous-edematous plaques, neutrophilic leukocytosis
, and increased inflammatory markers) and suggestive of a pathological condition, which led the clinician to an incorrect diagnosis (urticaria and mild fever).
The laboratory findings presented significantly higher percentage of leukocytosis for age, neutrophilic leukocytosis
for age, and positive CRP in E.
injected and gavaged mice within treatment groups suggesting that both routes of ethanol administration induce an equal neutrophilic leukocytosis
after burn injury.
Blood investigations showed a neutrophilic leukocytosis
with deranged renal and liver function, and prolonged INR.
Amongst the laboratory parameters neutrophilic leukocytosis
was seen in 28(58.3%) cases.
Clinical laboratory evaluation showed the following: neutrophilic leukocytosis
, hemoglobin 10.1 g/dL, hematocrit 30.3%, thrombocytopenia (40 x [10.sup.6] platelets/L [reference range 140-440 x [10.sup.6] platelets/L]), elevated serum alkaline phosphatase (290 U/L [reference range 35-104 U/L]), elevated lactic dehydrogenase concentration (560 U/L [reference range 100-190 U/L]), and elevated antistreptolysin O and rheumatoid factor titers.
Marked neutrophilic leukocytosis
with shift to left of reticulocytes (immature/band cells) was indicative of severe bacterial infection to uterus, which might be due to stimulation of bone marrow to release more number of immature or band cells into peripheral circulation in an attempt to overcome infection (Mojzisova et al., (2000) (Fig.
Laboratory investigations showed mild neutrophilic leukocytosis
with total white cell count (11.4 x [10.sup.9] per liter).
The combination of urticaria rash, fever, arthralgia, polyserositis, and neutrophilic leukocytosis
in the absence of specific autoantibodies suggested a differential diagnosis of adult-onset Still's disease (AOSD).
Male patient, 75 years old, with history of a right inguinal mass that progressively grew over several years, went to emergency room of Mantua General Hospital for right inguinal pain, associated with fever and neutrophilic leukocytosis
, without signs of intestinal obstruction.