PMC4546797_01
PMC4546797_02
Right basal opacity on the chest X ray at diagnosis
PAMJ-21-142-g001.jpg
PMC4546797_02_PAMJ-21-142-g001.jpg
F0001
The coagulation tests were normal, the total bilirubin 95mg/L (Normal range: 1-12 mg/L) unconjugated bilirubin 83mg/L, conjugated bilirubin 12 mg/L (Figure 1), echocardiography found a minimal cardiac effusion with an ejection fraction at 58% and pulmonary arterial pressure at 31mmHg, normal abdominal ultrasound, venous Doppler of lower limbs was normal, the chest CT angio-scan did not find a pulmonary embolism but bilateral alveolar consolidation predominant on the right associated with minimal pericardial thickening and pleural effusion (Figure 2).
Chest angioscan at diagnosis showed a bilateral alveolar consolidation predominant on the on the right associated with minimal pericardial thickening and pleural effusion
PAMJ-21-142-g002.jpg
PMC4546797_02_PAMJ-21-142-g002.jpg
F0002
The coagulation tests were normal, the total bilirubin 95mg/L (Normal range: 1-12 mg/L) unconjugated bilirubin 83mg/L, conjugated bilirubin 12 mg/L (Figure 1), echocardiography found a minimal cardiac effusion with an ejection fraction at 58% and pulmonary arterial pressure at 31mmHg, normal abdominal ultrasound, venous Doppler of lower limbs was normal, the chest CT angio-scan did not find a pulmonary embolism but bilateral alveolar consolidation predominant on the right associated with minimal pericardial thickening and pleural effusion (Figure 2).
Electrophoresis of hemoglobin that revealed a migration of hemoglobin S and conclude to homozygous sickle cell anemia
PAMJ-21-142-g003.jpg
PMC4546797_02_PAMJ-21-142-g003.jpg
F0003
The hemoglobin electrophoresis found a homozygous sickle cell disease (HbS: 78.5%, and 18.1% HbF, HbA2 3.4%) (Figure 3).