Hypokalaemic paralysis in an adult case of Plasmodium vivax malaria

Malaria Journal

Table 2 Summary of haematology results

	Units	Reference range	Pre-admission	Day 1			Day 2	Day 3	Day 4
Haemoglobin	gm/dL	11-18	11.5	11.1			10.8	11.4
Total Leukocyte Count	K/uL	4-10	7.9	8.1			5.5	6.4
Platelet Count	/uL	150,000-400,000	56,000	76,000			31,000	179,000
Peripheral Smear			Trophozoites of Plasmodium vivax	Trophozoites of Plasmodium vivax			malarial parasite not seen	malarial parasite not seen
Glucose-6-Phosphate Dehydrogenase								no deficiency seen
				0 hrs	3 hrs	8 hrs
Serum Electrolytes	mEq/L	Sodium: 135-148		141	141	143	140	138	139
		Potassium: 3.7-5.3		1.47	2.67	5.25	4.74	4.23	4.33
		Chloride: 100-108		110	110	109	107	107	107
Serum Calcium	mg/dL	8.5-10.1		9.2				9.4
Serum Magnesium	mg/dL	1.7-2.3		2.3				2.1
Serum Creatinine	mg/dL	0.6-1.3		0.8					0.8
Blood Urea Nitrogen	mg/dL	7-18		11					12
Bilirubin	mg/dL	Total: 0-1		1.5
		Direct: 0–0.3		0.2
		Indirect: 0–0.7		1.3
Arterial Blood Gas				Normal
HIV	ELISA						Non-Reactive
Leptospirosis Antibody	IgM						Negative
Dengue Rapid	NS-1 Antigen						Negative
	IgM Antibody						Negative
	IgG Antibody						Negative
Thyroid Profile	mcg/dL	TSH: 0.4-5.3					4.94
		Total T3: 69-205					129.97
		Total T4: 4.5-12.6					13.7

Note: Other investigations like liver enzymes, serum uric acid, serum proteins, serum albumin, blood sugars and urine (routine and microscopy) were within normal limits.

ISSN: 1475-2875