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LabReportNew 127

The document is a medical report for Mr. Sumit Kumar, a 26-year-old male, detailing various laboratory test results conducted on May 20, 2024. Key findings include a high C-reactive protein level indicating inflammation, a positive Typhidot test for Salmonella Typhi IgM, and a positive Widal test for Salmonella Typhi. The report advises clinical correlation and suggests rechecking with fresh samples if necessary.
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0% found this document useful (0 votes)
31 views7 pages

LabReportNew 127

The document is a medical report for Mr. Sumit Kumar, a 26-year-old male, detailing various laboratory test results conducted on May 20, 2024. Key findings include a high C-reactive protein level indicating inflammation, a positive Typhidot test for Salmonella Typhi IgM, and a positive Widal test for Salmonella Typhi. The report advises clinical correlation and suggests rechecking with fresh samples if necessary.
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Barcode No 12874672 Lab No 00012405201160

Patient Name [Link] KUMAR Reg Date 20/May/2024 02:28PM


Age/Sex 26 YRS/Male Sample Coll. Date 20/May/2024 01:31 PM
Refered By DR. ASHISH KHATTAR Sample [Link] 20/May/2024 02:33 PM
Client Code/Name
Ref. Lab/Hosp Report Date 20/May/2024 03:31PM
Panel Address

HAEMATOLOGY
Test Name With Methodology Result Unit Biological [Link]
Complete Blood Count (CBC EXT)
Haemoglobin 14.8 gm/dl 13.0-17.0
Whole Blood EDTA, Cyanide free

TLC (Total Leucocyte Count) 5.81 th/cumm 4.0-10.0


Whole Blood EDTA, Flow Cytometry

DIFFERENTIAL LEUCOCYTE COUNT


Polymorphs 85.6 % 40-80
Whole Blood EDTA Flowcytometry

Lymphocytes 10.0 % 20-40


Flowcytometry

Eosinophils 0.3 % 1-6


Flowcytometry

Monocytes 4 % 2-10
Whole Blood EDTA Flowcytometry

Basophils 0.1 % 0-1


Whole Blood EDTA Flowcytometry

Absolute Neutrophil Count 4,973 /cumm 2000-7000


Whole Blood EDTA, Calculated

Absolute Lymphocyte Count. 581 /μL 1000.0 - 3000.0


Whole Blood EDTA, Calculated

Absolute Eosinophil Count 17 /cumm 20-500


Whole Blood EDTA, Calculated

Absolute Monocyte Count 232 /cumm 20-1000


Whole Blood EDTA, Calculated

Absolute Basophils Count 6 /cumm 20-100


Whole Blood EDTA, Calculated

RBC 5.78 millions/cmm 4.5-5.5


Whole Blood EDTA, Impedance

HCT 48.2 % 40-50


Whole Blood EDTA, Calculated

MCV 83.39 fl 83-101


Whole Blood EDTA, Calculated

MCH 25.6 pg 27-32


Whole Blood EDTA, Calculated

Page 1 of 7
Barcode No 12874672 Lab No 00012405201160
Patient Name [Link] KUMAR Reg Date 20/May/2024 02:28PM
Age/Sex 26 YRS/Male Sample Coll. Date 20/May/2024 01:31 PM
Refered By DR. ASHISH KHATTAR Sample [Link] 20/May/2024 02:33 PM
Client Code/Name
Ref. Lab/Hosp Report Date 20/May/2024 03:31PM
Panel Address
MCHC 30.7 g/dl 31.5-34.5
Whole Blood EDTA, Calculated

Platelet Count 125 thou/µL 150-410


Whole Blood EDTA, Impedance

MPV 15.2 fl 7.4-10.4


Calculated

RDW- CV 16.1 % 11.6-14.0


Whole Blood EDTA, Flowcytometry

RDW- SD 50.7 fl 35-56


Whole Blood EDTA, Flowcytometry

PCT 0.126 % 0.10-0.28


Whole Blood EDTA, Flow Cytometry

PDW 16.7 fl 9.0-17.0


Whole Blood EDTA, Calculated

Mentzer Index 14.43 Ratio


RDWI 232.28
Green and King 75.65
Neutrophil - Lymphocyte Ratio (NLR) 8.56 Ratio
Calculated

Lymphocyte - Monocyte Ratio (LMR) 2.50 Ratio


Calculated

Platelet - Lymphocyte Ratio (PLR) 215.15 Ratio


Calculated

ESR [Westergren] 12 mm/ 1 hr 0 -15


Modified Westergren

Kindly correlate clinically. Advise for recheck from fresh sample in case, it is not correlation clinically, to rule out any pre-
analytical error.

Referrance range according to Practical Haematology, Dacie & Lewis, 12th edition, 2012.

Page 2 of 7
Barcode No 12874672 Lab No 00012405201160
Patient Name [Link] KUMAR Reg Date 20/May/2024 02:28PM
Age/Sex 26 YRS/Male Sample Coll. Date 20/May/2024 01:31 PM
Refered By DR. ASHISH KHATTAR Sample [Link] 20/May/2024 02:33 PM
Client Code/Name
Ref. Lab/Hosp Report Date 20/May/2024 04:30PM
Panel Address

Test Name With Methodology Result Unit Biological [Link]


.IMMUNO BIOCHEMISTRY-1
CRP (C Reactive Protein) Quantitative
CRP 26.48 mg/dL < 0.5
Particle enhanced immunoturbidimetric assay.
Comment:

A C-reactive protein (CRP), a type of acute phase protein, is used to identify inflammation or infection in the body. CRP is an early indicator of
these problems and its levels can rise quickly.

Page 3 of 7
Barcode No 12874672 Lab No 00012405201160
Patient Name [Link] KUMAR Reg Date 20/May/2024 02:28PM
Age/Sex 26 YRS/Male Sample Coll. Date 20/May/2024 01:31 PM
Refered By DR. ASHISH KHATTAR Sample [Link] 20/May/2024 02:33 PM
Client Code/Name
Ref. Lab/Hosp Report Date 20/May/2024 03:47PM
Panel Address

Test Name With Methodology Result Unit Biological [Link]


SEROLOGY
Dengue (IgM) Rapid
Dengue IgM Negative Negative
Serum, Rapid immuno chromatography.

Remark: Positive or Reactive results should be confirmed with alternative testing methods (like ELISA) and clinical
findings before a diagnostic decision is made.
Test results should be used in conjunction with clinical evaluation, including exposure history and clinical
presentation.

Comment
Dengue specific IgM antibodies become detectable 3 to 7 days following infection and may remain detectable for up to
6 months or longer following disease resolution. Seroconversion occurs approximately 3 to 7 days following exposure,
and therefore, testing of acute and convalescent sera may be necessary to make the diagnosis. As an adjunct to
serologic testing, identification of early dengue infection may be made by detection of the Dengue nonstructural protein
1 (NS1) antigen.
Dengue Ns 1 Antigen Rapid
Dengue NS1 Negative Negative
Serum, Rapid immuno chromatography.

Remark: Positive or Reactive results should be confirmed with alternative testing methods (like ELISA) and clinical
findings before a diagnostic decision is made.

Comments:
Dengue fever and dengue hemorrhagic fever (DHF) are acute febrile diseases, found in the tropics, and caused by four
closely related virus serotypes of the genus Flavivirus, family Flaviviridae. This test detects NS1 antigen of Dengue in
serum. Dengue NS1 antigen is a highly conserved glycoprotein that seems to be essential for virus viability, but has no
established biological activity. This NS1 antigen is present at high concentrations in the sera of dengue virus infected
patients during the early clinical phase of the disease. Dengue NS1 Ag can be detected from day 1 after onset of fever.
This test is helpful in provisional diagnosis of early acute dengue infection.

Page 4 of 7
Barcode No 12874672 Lab No 00012405201160
Patient Name [Link] KUMAR Reg Date 20/May/2024 02:28PM
Age/Sex 26 YRS/Male Sample Coll. Date 20/May/2024 01:31 PM
Refered By DR. ASHISH KHATTAR Sample [Link] 20/May/2024 02:33 PM
Client Code/Name
Ref. Lab/Hosp Report Date 20/May/2024 03:48PM
Panel Address

Test Name With Methodology Result Unit Biological [Link]


HAEMATOLOGY
Malaria Antigen (PV & PF)
P. Vivax Not Detected Not Detected
P. Falciparum Not Detected Not Detected
EDTA BLOOD, Rapid immunochromotographic method

Page 5 of 7
Barcode No 12874672 Lab No 00012405201160
Patient Name [Link] KUMAR Reg Date 20/May/2024 02:28PM
Age/Sex 26 YRS/Male Sample Coll. Date 20/May/2024 01:31 PM
Refered By DR. ASHISH KHATTAR Sample [Link] 20/May/2024 02:33 PM
Client Code/Name
Ref. Lab/Hosp Report Date 20/May/2024 03:47PM
Panel Address

Test Name With Methodology Result Unit Biological [Link]


SEROLOGY
Typhi Dot (Salmonella Typhi) IgM
Salmonella Typhi Dot - IgM Detected Not Detected
Serum, Rapid immuno chromatography.

Comments:

Typhidot is done on a dot ELISA kit that detects IgM and IgG antibodies against the outer membrane protein (OMP) of
the Salmonella typhi. The Typhidot test is expected to become positive within 2–3 days of infection. The test is based on
the presence of specific IgM and IgG antibodies. IgM shows recent infection whereas IgG signifies remote infection.
Typhidot was 67% sensitive and 54% specific, with 85% positive and 81% NPVs.

Page 6 of 7
Barcode No 12874672 Lab No 00012405201160
Patient Name [Link] KUMAR Reg Date 20/May/2024 02:28PM
Age/Sex 26 YRS/Male Sample Coll. Date 20/May/2024 01:31 PM
Refered By DR. ASHISH KHATTAR Sample [Link] 20/May/2024 02:33 PM
Client Code/Name
Ref. Lab/Hosp Report Date 20/May/2024 03:30PM
Panel Address

Test Name With Methodology Result Unit Biological [Link]


Widal Test (Slide Test)
Salmonella Typhi O 1:320 <1:80
Serum, Slide Agglutination

Salmonella Typhi H 1:320 <1:80


Serum, Slide Agglutination

[Link] AH <1:80 <1:80


Serum, Slide Agglutination

[Link] BH <1:80 <1:80


Serum, Slide Agglutination

Result Positive
COMMENT:

Widal Test is an agglutination test which detects the presence of serum agglutinins (H and O) in patients serum with typhoid and
paratyphoid fever. Timing of test is important, as antibodies begin to arise during end of first week. The titres increase during second,
third and fourth week after which it gradually declines. The test may be negative in early part of first week. Single test is usually of not
much value. A rise in titre between two sera specimens is more meaningful than a single test. If the first sample is taken late in the
disease, a rise in titre may not be demonstrable. Instead, there may be a fall in titre.
False positive Widal test results are also known to occur in typhus, acute falciparum malaria (particularly in children), chronic liver disease
associated with raised globulin levels and disorders such as rheumatoid arthritis, myelomatosis and nephrotic syndrome.

False negative Widal tests may be due to antibody responses being blocked by early antimicrobial treatment or following a typhoid
relapse.

Page 7 of 7

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