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Volume 25, Number 10—October 2019
Dispatch

Melioidosis after Hurricanes Irma and Maria, St. Thomas/St. John District, US Virgin Islands, October 2017

Irene Guendel1, Lisa LaPlace Ekpo1, Mary K. Hinkle, Cosme J. Harrison, David D. Blaney, Jay E. Gee, Mindy G. Elrod, Sandra Boyd, Christopher A. Gulvik, Lindy Liu, Alex R. Hoffmaster, Brett R. Ellis, Tai Hunte-Ceasar, and Esther M. EllisComments to Author 
Author affiliations: Virgin Islands Department of Health, St. Thomas, Virgin Islands, USA (I. Guendel, L. LaPlace Ekpo, C.J. Harrison, B.R. Ellis, T. Hunte-Ceasar, E.M. Ellis); Walter Reed Army Institute of Research, Silver Spring, Maryland, USA (M.K. Hinkle); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (D.D. Blaney, J.E. Gee, M.G. Elrod, S. Boyd, C.A. Gulvik, L. Liu, A.R. Hoffmaster)

Main Article

Table 2

Laboratory values for 2 case-patients with melioidosis after Hurricanes Irma and Maria, St. Thomas/St. John District, US Virgin Islands, October 2017*

Parameter Patient 1
 Patient 2
 Reference range
Oct 18 Oct 21 Oct 24 Oct 26 Oct 27 Oct 30
Leukocytes 4.2 NT 4.1 28.3 18.1 12.6 4.8–10.8 × 103/mm3
Hemoglobin B 11.9 NT 15.5 11.3 10.4 8.1 12.0–14.0 g/L
Hematocrit 38.1 NT 48.9 34.6 31.5 24.0 36.0–42.0%
Platelets 185 NT 174 441 345 201 140–440 × 103/mm3
Neutrophils 67.0 NT 46.2 92.5 89.5 92.6 40.0%–75.0%
Lymphocytes 20.8 NT 38.2 1.8 2.4 5.1 15.0%–45.5%
Monocytes 9.6 NT 10.8 4.9 5.3 2.2 0.0%–10.0%
Eosinophils 0.6 NT 3.7 0.7 2.7 0.0 0.0%–6.0%
Basophils 2.0 NT 1.1 0.1 0.1 0.1 0.0%–2.0%
Sodium 134 127 NT 125 130 137 136–145 mmol/L
Potassium 4.8 3.6 NT 3.5 2.9 3.2 3.6–5.2 mmol/L
Chloride 100 91 NT 87 95 104 98–107 mmol/L
Bicarbonate 28.0 31.3 NT 17.5 21.5 16.5 21–32 mmol/L
Blood urea nitrogen 23 18 NT 17 17 63 7–18 mg/dL
Creatinine 1.58 1.26 NT 1.19 1.07 3.92 0.6–1.3 mg/dL
Glucose 169 213 NT 367 235 404 70–110 mg/dL
Hemoglobin A1C NT NT NT NT NT 11 4.5%–6.2%
Calcium 8.2 9.1 NT 10.2 9.0 8.3 8.5–10.5 mg/dL
Phosphorus NT 3.3 NT NT NT 1.9 2.4–4.9 mg/dL
Magnesium NT NT NT NT NT 1.9 1.8–2.4 mg/dL
Total bilirubin 0.6 NT NT 1.5 1.5 2.3 0.0–1.0 mg/dL
Direct bilirubin NT NT NT NT NT 2.0 0.0–0.3 md/dL
AST 32 NT NT 34 52 49 15–37 U/L
ALT 27 NT NT 25 25 34 12–78 U/L
Alkaline phosphatase 94 NT NT 155 138 142 50–136 U/L
Total protein 7.2 NT NT 8.0 6.4 5.1 6.4–8.2 g/dL
Albumin 3.10 2.70 NT 2.10 1.6 0.8 3.4–5.0 g/dL

*Units for laboratory values are shown in the reference range column. ALT, alanine aminotransferase; AST, aspartate aminotransferase; hemoglobin A1C, glycated hemoglobin; NT, not tested.

Main Article

1These authors contributed equally to this article.

Page created: September 17, 2019
Page updated: September 17, 2019
Page reviewed: September 17, 2019
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.
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