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    Jo anne Jo anne
    This laboratory report contains the results of tests performed on a blood sample from Mr. Banga Sixaxeni. [1] The tests found elevated white blood cell and platelet counts, low red blood cell count, hemoglobin, and hematocrit levels. [2] CD4 testing showed a low absolute CD4 count of 88 cells/uL. [3] All other tests, including liver function, creatinine, CRP, ESR, and syphilis screening were abnormal or outside the normal ranges.

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    This laboratory report contains the results of tests performed on a blood sample from Mr. Banga Sixaxeni. [1] The tests found elevated white blood cell and platelet counts, low red blood cell count, hemoglobin, and hematocrit levels. [2] CD4 testing showed a low absolute CD4 count of 88 cells/uL. [3] All other tests, including liver function, creatinine, CRP, ESR, and syphilis screening were abnormal or outside the normal ranges.

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    This laboratory report contains the results of tests performed on a blood sample from Mr. Banga Sixaxeni. [1] The tests found elevated white blood cell and platelet counts, low red blood cell count, hemoglobin, and hematocrit levels. [2] CD4 testing showed a low absolute CD4 count of 88 cells/uL. [3] All other tests, including liver function, creatinine, CRP, ESR, and syphilis screening were abnormal or outside the normal ranges.

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    23 views3 pages

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    Jo anne Jo anne
    This laboratory report contains the results of tests performed on a blood sample from Mr. Banga Sixaxeni. [1] The tests found elevated white blood cell and platelet counts, low red blood cell count, hemoglobin, and hematocrit levels. [2] CD4 testing showed a low absolute CD4 count of 88 cells/uL. [3] All other tests, including liver function, creatinine, CRP, ESR, and syphilis screening were abnormal or outside the normal ranges.

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    of 3

    MOSSELBAY LABORATORY

    Mossel Bay Provincial Hospital, 21st Avenue , Mossel Bay, WC


    6500
    Tel: 044 690 3745, Fax: 044 609 3507
    Practice Number 5200296 pg 1 of 3

    FULL FINAL LABORATORY REPORT


    PATIENT: LAB NUMBER: XI 00302108 REPORT TO:
    Mr Banga SIXAXENI
    29/04/2000 (23y) Sex M Collected: 15/08/2023 12:00 DR N MASHAMAITE
    Race: Unknown Received: 15/08/2023 15:08 Ward not stated
    22 DYOSISTRAAT Printed: 21/08/2023 13:15 Mossel Bay Hospital wc MBY
    Mossel Bay Private Bag X34
    Western Cape Mossel Bay
    6500 Western Cape
    6500

    Patient Location: Mossel Bay Hospital wc MBY, Ward not stated


    Hospital Number: 135692127

    DISCLAIMER: If the date or time of collection is not included on the request form or the sample
    does not meet our laboratory requirement for collection, transport and processing,
    caution should be exercised when interpreting results as their accuracy cannot be guaranteed.
    Absent clinical details may affect the laboratory's interpretation of results.

    FOR ENQUIRIES AND FOLLOW-UP TESTS, PLEASE QUOTE PATIENT'S MRN NUMBER MRN58638032

    CHEMICAL PATHOLOGY
    Specimen received: Clotted blood
    Tests requested: Creat, ALT, CRP

    Creatinine and estimated GFR:


    Creatinine 43 L umol/L 64 - 104
    2
    eGFR (MDRD formula) >60 mL/min/1.73 m
    2
    eGFR (CKD-EPI formula) 155 mL/min/1.73 m

    MDRD-derived estimation of GFR may significantly underestimate true GFR


    in patients with GFR > 60 mL/min/1.73m^2. It may also be unreliable in
    the case of: age <18 years or >70 years; pregnancy; serious co-morbid
    conditions; acute renal failure; extremes of body habitus/unusual diet;
    gross oedema. The MDRD-eGFR used here does not employ an ethnic factor
    for race.

    Estimation of the GFR using the CKD-EPI formula is more accurate than
    the MDRD formula at GFR > 60 mL/min/1.73 m^2, and can therefore be used
    to detect patients with mild renal impairment. It can be used to grade
    severity of renal impairment using the KDIGO 2012 recommendations. The
    CKD-EPI formula used here does not employ a correction factor for race.

    Liver function tests:


    Alanine transaminase (ALT) 13 U/L 10 - 40

    Inflammatory markers:
    C-Reactive protein 240 H mg/L <10

    Authorised by: D Van Heerden (Medical Technologist) Creat ALT CRP

    HAEMATOLOGY
    Specimen received: EDTA blood
    Tests requested: FBC, ESR, CD4 @, CrAg (LFA) reflex @
    @ Test referred to another NHLS laboratory

    Full Blood Count:


    MOSSELBAY LABORATORY
    Mossel Bay Provincial Hospital, 21st Avenue , Mossel Bay, WC
    6500
    Tel: 044 690 3745, Fax: 044 609 3507
    Practice Number 5200296 pg 2 of 3
    Mr Banga SIXAXENI LAB NO: XI 00302108 15/08/2023 12:00
    Mossel Bay Hospital wc MBY, Ward not stated, Hospital Number 135692127

    Full Blood Count:<Continued>


    9
    White Cell Count 17.62 H x 10 /L 3.92 - 10.40
    12
    Red Cell Count 3.66 L x 10 /L 4.50 - 5.50
    Haemoglobin 8.4 L g/dL 13.0 - 17.0
    Haematocrit 0.274 L L/L 0.400 - 0.500
    MCV 74.9 L fL 83.1 - 101.6
    MCH 23.0 L pg 27.8 - 34.8
    MCHC 30.7 L g/dL 33.0 - 35.0
    Red Cell Distribution Width 15.7 % 12.1 - 16.3
    9
    Platelet Count 764 H x 10 /L 171 - 388
    MPV 8.4 fL 7.1 - 11.0

    Erythrocyte Sedimentation Rate:


    ESR 70 H mm/hr 0 - 10

    CDARV:
    9
    CD45 +ve White Cell Count 19.18 H x 10 /L 4.00 - 10.00
    CD4% of Lymphocytes 4.85 L % 28.00 - 51.00
    Absolute CD4 88 L cells/uL 332 - 1642

    CD4 ARV comment:


    Absolute CD4 now reported as cells/uL, which has the same meaning as the
    previous units of x10^6/L, but now conforms to international standards.

    Antigen Detection:
    Cryptococcal antigen (LFA) Negative

    A reflex cryptococcal antigen (CrAg) test was performed on this sample


    because the CD4 count was <100 cells/çl. The CrAg test was NEGATIVE.
    Patients living with HIV should be initiated or reinitiated on
    antiretroviral treatment as soon as possible.

    @ CD4, CrAg (LFA) reflex referred to George Laboratory (Tel 044 874 2022/3 or 874 4628)

    Authorised by: D Van Heerden (Medical Technologist) FBC ESR


    JM Bergman (Medical Technician) CD4
    LA Opperman (Medical Technologist) CrAg (LFA) reflex
    MOSSELBAY LABORATORY
    Mossel Bay Provincial Hospital, 21st Avenue , Mossel Bay, WC
    6500
    Tel: 044 690 3745, Fax: 044 609 3507
    Practice Number 5200296 pg 3 of 3
    Mr Banga SIXAXENI LAB NO: XI 00302108 15/08/2023 12:00
    Mossel Bay Hospital wc MBY, Ward not stated, Hospital Number 135692127

    MICROBIOLOGY
    Specimen received: Clotted blood
    Tests requested: RPR @
    @ Test referred to another NHLS laboratory

    Syphilis Serology:

    RPR (Rapid Plasma Reagin):


    RPR Screen Non-reactive

    The non-reactive RPR suggests that this patient does not have active syphilis.
    However, the RPR can be non-reactive in very early syphilis, very late syphilis
    or in successfully treated syphilis.

    @ RPR referred to George Laboratory (Tel 044 874 2022/3 or 874 4628)

    Authorised by: NC Makinana (Medical Technician) RPR

    -- End of Laboratory Report --

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