The creatinine level showed a reverse significant correlation with the mean indirect bilirubin
Other than indirect bilirubin
(p = 0.012), many of the significant improvements in this clinical trial were either clinical (dark urine, jaundice and scleral icterus) or subjectively reported (fatigue, malaise and anorexia).
* Elevated serum indirect bilirubin
with normal reticulocyte count and negative Coomb's test is associated with physiologic, breast milk jaundice, or familial nonhemolytic jaundice.
Biochemistry panel revealed total serum bilirubin of 51 mg/dl with a direct bilirubin of 38.7 mg/dl and indirect bilirubin
was 12.9 mg/dl.
There was significant increase in total bilirubin, direct bilirubin and indirect bilirubin
levels and all other serum biochemical parameters like total protein, albumin, AST showed no significant changes in goats with Babesiosis (Table 2).
When compared with the control group, ALT, AST, indirect bilirubin
and LDH levels were found to be significantly higher in the case group.
Serum indirect bilirubin
was 120 [micro]mol/L with the indirect fraction of 111 [micro]mol/L and LDH was 1380 U/L.
(3) Other studies have demonstrated that a high dose of Clofibrate may lead to a reduction in both indirect bilirubin
level and duration of hospitalization without known complications and side effects.
Laboratory test results were low hematocrit 28.2% (42-52) hemoglobin 8.6 g/dL (range13.5-18), white bood cell 10.5 (4-10.5)[10.sup.3] uL, Platelets 145 (150450) 103 uL normal hemoglobin electrophoresis, low serum haptoglobulin level 0.1g/L (30-200 g/L) and negative direct Coombs' test, high serum total bilirubin level (2.2 mg/dL range 0.2-1.1), indirect bilirubin
1.67 mg/ dL (normal value<1), low serum iron level (29 [micro]g/dL range for normal values 45-182), normal iron binding capacity (266 [micro]g/dL range 110-370), normal ferritin level 41.1 ng/mL (22-322), normal B12 and folic acid levels (200 pg/mL and 6.8 ng/mL respectively).
(%) 4 (16) Lactate dehydrogenase, U/L 1267 [+ or -] 462 APACHE 2 score 17.4 [+ or -] 3.8 (9-27) SOFA score 8.4 [+ or -] 2.8 (4-14) MODS score 7.9 [+ or -] 2.8 (4-14) GCS score 14.3 [+ or -] 1.14 (12-15) Hemoglobin, gm/L 8.02 [+ or -] 1.6 Hematocrit, % 24.6 [+ or -] 4.9 Leukocytes, cells/[mm.sup.3] 9,002.8 [+ or -] 3,098 Platelets, cells/[micro]L 108,680 [+ or -] 91,606 Total bilirubin, mg/dL 5.6 [+ or -] 7.6 Direct bilirubin, mg/dL 4.1 [+ or -] 6.2 Indirect bilirubin
, mg/dL 1.5 [+ or -] 2.1 Alanine aminotransferase, U/L 66 [+ or -] 45.5 Sodium, mmol/L 130 [+ or -] 6.8 Creatinine, mg/dL 7.37 [+ or -] 2.6 Blood urea, mg/dL 140.4 [+ or -] 59 No.
Complementary exams showed a marked decrease in liver enzymes, normalization of the PT and persistence of hyperbilirubinemia due to direct and indirect bilirubin
For elevated total bilirubin levels, obtain direct and indirect bilirubin