Table 1

Summary of the biochemical and haematological investigation findings

ParameterInfant A
(4 months)
Infant B
(7 months)
Reference limits
Indicators of muscle damage
 Creatine kinase (U/L)94261620–180
 Lactate dehydrogenase (U/L)780540180–430
 Aspartate transaminase (U/L)331240<35
Liver parameters
 Alanine transaminase (U/L)112107<35
 Alkaline phosphatase (U/L)18143760–425
 Gamma-glutamyltransferase (U/L)131255–32
 Total bilirubin (μmol/L)993–20
 Total protein (g/L)515060–80
 Albumin (g/L)363734–50
Renal parameters and electrolytes
 Creatinine (μmol/L)503135–40
 Urea (mmol/L)1.51.71.5–3.0
 Sodium (mmol/L)140134135–145
 Potassium (mmol/L)3.94.53.5–5.3
 Total calcium (mmol/L)2.462.2–2.7
 Phosphate (mmol/L)1.281.45–2.16
Haematological parameters
 Haemoglobin (g/L)121107140–240
 White cell count (×109/L)5.88.43.1–21.6
 Platelets (×109/L)571342152–472
Metabolic parameters
 Total cholesterol (mmol/L)5.765.251.71–5.91
 Triglyceride (mmol/L)1.61.50.62–3.12
 Random glucose (mmol/L)5.46.33.3–11.1
 Ketone bodies*NegativeNegativeNegative
 Uric acid (μmol/L)303233119–327
 Ammonia (μmol/L)677440–80
Acid-base parameters (with respiratory support)
 pH7.3827.4057.35–7.45
 PaO2 (mm Hg)1039575–100
 PaCO2 (mm Hg)30.236.135–45
 Bicarbonate (mmol/L)18.122.822–26
 Base excess (mmol/L)−5.4−3.2(−2) – (+2)
 Lactate (mmol/L)1.501.300.5–2.22
Acid-base parameters (at the acute presentation with respiratory distress)
 pH7.3257.0397.35–7.45
 PaO2 (mm Hg)80.522.675–100
 PaCO2 (mm Hg)55.980.735–45
 Bicarbonate (mmol/L)17.422.022–26
 Base excess (mmol/L)−2.8−8.9(−2) – (+2)
 Lactate (mmol/L)1.807.300.5–2.22
Indicators of infection
 ESR (mm/first hour)2-<10
 C reactive protein (mg/L)1.517.4<5
  • All investigations were conducted on blood specimens (serum/plasma/whole blood).

  • *Investigations conducted on urine specimens

  • ESR, erythrocyte sedimentation rate; PaCO2, Arterial partial pressure of carbon dioxide; PaO2, Arterial partial pressure of oxygen.