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Nilai Normal Laboratorium

Add a comment November 13th, 2008 dr. Arief Determination Blood, Plasma or Serum Ammonia (NH3) diffusion Ammonia Nitrogen Amylase Anion gap (Na+-[Cl - + HCO3- ]) (P) Antithrombin III (AT III) Bicarbonate Arterial Venous Bilirubin Conjugated (direct) Total Normal Reference Value Conventional units SI units 20-120 mcg/dl 15-45 g/dl 35-118 IU/L 7-16 mEq/L 80120 U/dl 2128 mEq/L 2229 mEq/L e 0.2 mg/dl & 0.11 mg/dl < 100 pg/ml 8.610.3 mg/dl 4.45.1 mg/dl 2132 mmol/L < 3 ng/ml 95110 mEq/L 39.5 min 1013 sec 2237 sec 0.71.4 /ml 0.71.4 /ml 70160 mcg/dl < 60 pg/ml 12-70 mcmol/L 11-32 mol/L 0.58-1.97 mckat/L 7-16 mmol/L 8001200 U/L 2128 mmol/L 2229 mmol/L e 4 mcmol/L & 218 mcmol/L < 100 ng/L 2.22.74 mmol/L 11.3 mmol/L 2132 mmol/L < 3 mcg/L 95110 mmol/L 180570 sec 1013 sec 2237 sec 7001400 U/ml 7001400 U/ml 1125 mcmol/L < 13.2 pmol/L

Calcitonin Calcium Total Ionized Carbon dioxide content (plasma) Carcinoembryonic antigen Chloride Coagulation screen Bleeding time Prothrombin time Partial thromboplastin time (activated) Protein C Protein S Copper, total Corticotropin (ACTH adrenocorticotropic hormone) 0800 hr Cortisol 0800 hr 1800 hr

530 mcg/dl 215 mcg/dl

138810 nmol/L 50410 nmol/L

2000 hr Creatine kinase Female Male Creatinine kinase isoenzymes, MB fraction Creatinine Fibrinogen (coagulation factor I) Follicle-stimulating hormone (FSH) Female Midcycle Male Glucose, fasting Glucose Tolerance Test (Oral) Normal 70105 120170 100140 70120

e 50% of 0800 hr 20170 IU/L 30220 IU/L 012 IU/L 0.51.7 mg/dl 150360 mg/dl 213 mlU/ml 522 mlU/ml 18 mlU/ml 65115 mg/dl (mg/dl) Diabetic > 140 u 200 u 200 u 140 950 units/L 840 units/L 44303 mg/dl 200400 mg/dl 36%-44.6% 40.7%-50.3% 5.3%-7.5% of total Hgb 12.115.3 g/dl 13.817.5 g/dl 38009800/mcl

e 50% of 0800 hr 0.332.83 mckat/L 0.53.67 mckat/L 00.2 mckat/L 44150 mcmol/L 1.53.6 g/L 213 IU/L 522 IU/L 18 IU/L 3.66.3 mmol/L (mmol/L) Diabetic > 7.8 u 11.1 u 11.1 u 7.8

Fasting 60 min 90 min 120 min (K) Glutamyltransferase (GGT) Male Female Haptoglobin Hematologic Tests Fibrinogen Hematocrit (Hct) female male Hemoglobin A 1C Hemoglobin (Hb) female male Leukocyte count (WBC) Erythrocyte count (RBC)

Normal 3.95.8 6.79.4 5.67.8 3.96.7

950 units/L 840 units/L 0.443.03 g/L 24 g/L 0.360.446 fraction of 1 0.40.503 fraction of 1 0.0530.075

121153 g/L 138175 g/L 3.89.8 x 109/L

female male Mean corpuscular volume (MCV) Mean corpuscular hemoglobin (MCH) Mean corpuscular hemoglobin concentrate (MCHC) Erythrocyte sedimentation rate (sedrate, ESR) Erythrocyte enzymes Glucose-6 Pphosphate dehydrognase (G-6-PD) Determination Blood, Plasma or Serum: Ammonia (NH3) diffusion Ammonia Nitrogen Amylase Anion gap (Na+-[Cl - + HCO3-]) (P) Antithrombin III (AT III) Bicarbonate: Arterial Venous Bilirubin: Conjugated (direct) Total Calcitonin Calcium:

3.55 x 106/mcl 4.35.9 x 106/mcl 8097.6 mcm3 2733 pg/cell 3336 g/dl e30 mm/hr 2505000 units/106 cells

3.55 x 1012/L 4.35.9 x 1012/L 8097.6 fl 1.662.09 fmol/cell 20.322 mmol/L e30 mm/hr 2505000 mcunits/cell

Reference Value (Conventional units) (SI units) 20120 mcg/dl 1270 mcmol/L

1545 g/dl 35118 IU/L 716 mEq/L 80120 U/dl 2128 mEq/L 2229 mEq/L e 0.2 mg/dl (0.11 mg/dl) < 100 pg/ml 8.610.3 mg/dl 4.45.1 mg/dl 2132 mmol/L < 3 ng/ml 95110 mEq/L 39.5 min 1013 sec 2237 sec

1132 mol/L 0.581.97 mckat/L 716 mmol/L 8001200 U/L 2128 mmol/L 2229 mmol/L e 4 mcmol/L (218 mcmol/L) < 100 ng/L 2.22.74 mmol/L 11.3 mmol/L 2132 mmol/L < 3 mcg/L 95110 mmol/L 180570 sec 1013 sec 2237 sec 7001400 U/ml 7001400 U/ml 1125 mcmol/L < 13.2 pmol/L

Total Ionized

Carbon dioxide content (plasma) Carcinoembryonic antigen Chloride Coagulation screen: Bleeding time Prothrombin time Partial thromboplastin time (activated)

0.71.4 /ml Protein C 0.71.4 /ml Protein S Copper, total 70160 mcg/dl Corticotropin < 60 pg/ml (ACTH adrenocorticotropic hormone) 0800 hr

Cortisol:

0800 hr 1800 hr 2000 hr

530 mcg/dl 215 mcg/dl e 50% of 0800 hr

138810 nmol/L 50410 nmol/L e 50% of 0800 hr

Creatine kinase:

Female Male

20170 IU/L 30220 IU/L 012 IU/L 0.51.7 mg/dl 150360 mg/dl 213 mlU/ml 522 mlU/ml 18 mlU/ml

0.332.83 mckat/L 0.53.67 mckat/L 00.2 mckat/L 44150 mcmol/L 1.53.6 g/L 213 IU/L 522 IU/L 18 IU/L

Creatinine kinase isoenzymes, MB fraction Creatinine Fibrinogen (coagulation factor I) Follicle-stimulating hormone (FSH): Female Midcycle Male Glucose, fasting Glucose Tolerance Test (Oral) Fasting 60 min 90 min 120 min (K) -Glutamyltransferase (GGT): Male Female Haptoglobin Determination Hematologic tests: Fibrinogen Hematocrit (Hct), female male

65115 mg/dl (mg/dl) Normal Diabetic 70105 > 140 120170 u 200 100140 u 200 70120 u 140 950 units/L 840 units/L

3.66.3 mmol/L (mmol/L) Normal Diabetic 3.95.8 > 7.8 6.79.4 u 11.1 5.67.8 u 11.1 3.96.7 u 7.8 950 units/L 840 units/L

44303 mg/dl

0.443.03 g/L Reference Value Conventional units SI units 200400 mg/dl 24 g/L 36%-44.6% 40.7%-50.3% 0.40.503 fraction of 1 5.3%-7.5% of total Hgb 0.0530.075 12.115.3 g/dl 0.360.446 fraction of 1

Hemoglobin A 1C Hemoglobin (Hb), female male

13.817.5 g/dl 38009800/mcl 3.55 x 106/mcl 4.35.9 x 106/mcl

121153 g/L 138175 g/L 3.89.8 x 109/L 3.55 x 1012/L 4.35.9 x 1012/L 8097.6 fl 1.662.09 fmol/cell 20.322 mmol/L e 30 mm/hr

Leukocyte count (WBC) Erythrocyte count (RBC): female male

8097.6 mcm3 2733 pg/cell 3336 g/dl

Mean corpuscular volume (MCV) e30 mm/hr Mean corpuscular hemoglobin (MCH) Mean corpuscular hemoglobin concentrate (MCHC) Erythrocyte sedimentation rate (sedrate, ESR) Erythrocyte enzymes: Glucose-6 Pphosphate dehydrognase (G-6-PD) Ferritin Folic acid: normal Platelet count 2231132 pg/ml Reticulocytes Vitamin B12 Iron: 2505000 units/106 cells 10383 ng/ml 728.1 nmol/L >3.112.4 ng/ml 150450 x 109/L 150450 x 10 /mcl 0.0050.015 0.5%-1.5% of erythrocytes 165835 pmol/L
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2505000 mcunits/cell 23862 pmol/L

Female Male

30160 mcg/dl 45160 mcg/dl 220420 mcg/dl 1.27 units/L

5.431.3 mcmol/L 8.131.3 mcmol/L 39.475.2 mcmol/L 1.27 units/L

Iron binding capacity Isocitrate dehydrogenase

Isoenzymes Fraction 1 Fraction 2 Fraction 3 Fraction 4 Fraction 5

14%-26% of total 29%-39% of total 20%-26% of total 8%-16% of total 6%-16% of total

0.140.26 fraction of total 0.290.39 fraction of total 0.200.26 fraction of total 0.080.16 fraction of total 0.060.16 fraction of total 1.674.17 mckat/L 0.72.1 mmol/L e 2.41 mcmol/L 10150 units/L < 5.2 mmol/L < 5.26.2 mmol/L > 6.2 mmol/L < 3.36 mmol/L 3.364.11 mmol/L > 4.11 mmol/L < 0.91 mmol/L < 2.26 mmol/L 2.264.52 mmol/L 4.5211.3 mmol/L > 11.3 mmol/L

Lactate dehydrogenase Lactic acid (lactate) Lead Lipase Lipids: Total Cholesterol Desirable Borderline-high High LDL Desirable Borderline-high High HDL (low) Triglycerides Desirable Borderline-high High Very high

100250 IU/L 619 mg/dl e 50 mcg/dl 10150 units/L < 200 mg/dl 200239 mg/dl > 239 mg/dl < 130 mg/dl 130159 mg/dl > 159 mg/dl < 35 mg/dl < 200 mg/dl 200400 mg/dl 4001000 mg/dl > 1000 mg/dl

Magnesium Osmolality Oxygen saturation (arterial) PCO2, arterial pH, arterial Determination PO, arterial: Breathing room air On 100% O Phosphatase (acid), total at 37C

1.32.2 mEq/L 0.651.1 mmol/L 280300 mOsm/kg 280300 mmol/kg 94%-100% 0.94 fraction of 1 3545 mm Hg 4.76 kPa 7.357.45 7.357.45 Reference Value Conventional units SI units 80105 mm Hg 10.614 kPa > 500 mm Hg 0.130.63 IU/L

2.210.5 IU/L or 2.210.5 mckat/L 20130 IU/L or 0.332.17 mckat/L 0.81.6 mmol/L 3.55 mmol/L 0.324.8 nmol/L 0.324.8 nmol/L 889 nmol/L

Phosphatase alkaline

20130 IU/L

Phosphorus, inorganic, (phosphate) Potassium Progesterone Female Follicular phase

2.55 mg/dl 3.55 mEq/L 0.11.5 ng/ml 0.11.5 ng/ml 2.528 ng/ml < 0.5 ng/ml

Luteal phase Male Prolactin Prostate specific antigen Protein: Total Albumin Globulin Rheumatoid factor Sodium Testosterone: Female Male Thyroid Hormone Function Tests: Thyroid-stimulating hormone (TSH) 2.33.5 g/dl < 60 IU/ml 135147 mEq/L 686 ng/dl 2701070 ng/dl 0.356.2 mcU/ml 1026 mcg/dl

< 1.6 nmol/L

1.424.2 ng/ml 04 ng/ml 68 g/dl

1.424.2 mcg/L 04 ng/ml 6080 g/L 3650 g/L

3.65 g/dl 2335 g/L < 60 kIU/L 135147 mmol/L 0.213 nmol/L 9.337 nmol/L 0.356.2 mU/L 100260 mcg/L

Thyroxine-binding globulin capacity Total triiodothyronine (T3)

75220 ng/dl 411 mcg/dl 25%-38%

1.23.4 nmol/L 51142 nmol/L 0.250.38 fraction of 1 0.180.78 mckat/L 0.120.88 mckat/L 2.204.00 g/L 2.98.9 mmol/L 179476 mcmol/L 0.522.09 mcmol/L 7.723 mcmol/L

Total thyroxine by RIA (T4) T3 resin uptake Transaminase, AST (aspartate aminotransferase, 1147 IU/L SGOT) Transaminase, ALT (alanine aminotransferase, 753 IU/L SGPT) Transferrin 220400 mg/dL Urea nitrogen (BUN) 825 mg/dl Uric acid 38 mg/dl Vitamin A (retinol) 1560 mcg/dl Zinc 50150 mcg/dl
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Tergantung pada usia Bayi dan anak sampai 104 U/L Bayi usia 1 tahun sampai 6 mg/dl Urine Determination Reference Value Conventional units SI units 50250 mcg/day 1.256.25 mmol/day < 20 mcg/day < 109 nmol/day < 100 mcg/day < 590 nmol/day

Calcium Catecholamines: Epinephrine Norepinephrine Catecholamines, 24-hr Copper Creatinine: Child Adolescent Female Male pH Phosphate Potassium Protein

< 110 g 1560 mcg/day 822 mg/kg 830 mg/kg

< 650 nmol 0.240.95 mcmol/day 71195 mol/kg 71265 mol/kg 5.313.3 mmol/day

0.61.5 g/day 7.115.9 mmol/day 0.81.8 g/day 4.58 0.91.3 g/day 25100 mEq/day 114 mg/dL 4.58 2942 mmol/day 25100 mmol/day 10140 mg/L

Total At rest Protein, quantitative Sodium Specific gravity, random Uric acid, 24-hr
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5080 mg/day

5080 mg/day

< 150 mg/day 100250 mEq/day 1.0021.030 250750 mg

< 0.15 g/day 100250 mmol/day 1.0021.030 1.484.43 mmol

Tergantung pada diet. Drug Levels* Drug Determination Amikacin (trough) (peak) Gentamicin (trough) (peak) Kanamycin (trough) 18 mcg/ml 1.713.7 mcmol/L 2030 mcg/ml 3451 mcmol/L Reference Value Conventional units SI units

0.52 mcg/ml 610 mcg/ml

14.2 mcmol/L 12.520.9 mcmol/L

nd 510 mcg/ml 2025 mcg/ml nd

Aminoglycosides

(peak) Netilimicin (trough) (peak) Streptomycin (trough) (peak) Tobramycin (trough)

nd 0.52 mcg/ml 610 mcg/ml nd

nd < 5 mcg/ml 520 mcg/ml nd

1.14.3 mcmol/L 0.52 mcg/ml 520 mcg/ml 12.821.8 mcmol/L Reference Value

(peak) Drug Determination

Antiarrhythmics

Anticonvulsants

Antidepressants

Antipsychotics

Amiodarone Bretylium Digitoxin Digoxin Disopyramide Flecainide Lidocaine Mexiletine Procainamide Propranolol Quinidine Tocainide Verapamil Carbamazepine Phenobarbital Phenytoin Primidone Valproic Acid Amitriptyline Amoxapine Bupropion Clomipramine Desipramine Doxepin Imipramine Maprotiline Nortriptyline Protriptyline Trazodone Chlorpromazine Fluphenazine Haloperidol Perphenazine Thiothixene

Drug Determination Amantadine Amrinone Chloramphenicol Cyclosporine

Conventional units SI units 0.52.5 mcg/ml 1.54 mcmol/L 0.51.5 mcg/ml nd 925 mcg/L 11.832.8 nmol/L 0.82 ng/ml 0.92.5 nmol/L 28 mcg/ml 618 mcmol/L 0.21 mcg/ml nd 1.56 mcg/ml 4.521.5 mcmol/L 0.52 mcg/ml nd 48 mcg/ml 1734 mcmol/ml 50200 ng/ml 190770 nmol/L 26 mcg/ml 4.69.2 mcmol/L 410 mcg/ml nd 0.080.3 mcg/ml nd 412 mcg/ml 1751 mcmol/L 1040 mcg/ml 43172 mcmol/L 1020 mcg/ml 4080 mcmol/L 412 mcg/ml 1855 mcmol/L 40100 mcg/ml 280700 mcmol/L 110250 ng/ml 500900 nmol/L 200500 ng/ml nd 25100 ng/ml nd 80100 ng/ml nd 115300 ng/ml nd 110250 ng/ml nd 225350 ng/ml nd 200300 ng/ml nd 50150 ng/ml nd 70250 ng/ml nd 8001600 ng/ml nd 50300 ng/ml 150950 nmol/L 0.132.8 ng/ml nd 520 ng/ml nd 0.81.2 ng/ml nd 257 ng/ml nd Reference Value Conventional units SI units 300 ng/ml nd 3.7 mcg/ml 1020 mcg/ml 250800 ng/ml (whole blood, RIA) nd 3162 mcmol/L nd nd

Miscellaneous

Ethanol Hydralazine Lithium Salicylate Sulfonamide Terbutaline Theophylline Vancomycin (trough) (peak)

50300 ng/ml (plasma, RIA) 0 mg/dl 100 ng/ml 0.61.2 mEq/L 100300 mg/L 515 mg/dl 0.54.1 ng/ml 1020 mcg/ml

0 mmol/L nd 0.61.2 mmol/L 7242172 mcmol/L nd nd 55110 mcmol/L

nd 515 ng/ml 2040 mcg/ml nd

* Nilai yang diberikan secara umum dapat digunakan untuk terapi tanpa terjadi efek toksik pada kebanyakan pasien, Namun pengecualian juga tidak jarang terjadi.
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nd = data tidak tersedia. Metabolit N-desmethyl beserta turunannya. Nilai 24 jam. Toksik: 50100 mg/dl (10.921.7 mmol/L).

Diambil dari The Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure, National Institutes of Health. Classification of Blood Pressure * Reference value Systolic (mm Hg) Diastolic (mm Hg) < 120 and < 80 < 130 and < 85 130139 or 8589 140159 or 9099 160179 100109 or u 180 u 110 or

Category Optimal Normal High-normal Hypertension Stage 1 Stage 2 Stage 3

* Untuk dewasa berusia 18 atau lebih yang tidak dalam pengobatan anti hipertensi dan tidak dalam kondisi akut. Ketika tekanan sistole dan diastole masuk ke dalam kategori lain, maka kategori di atasnya harus dipilih untuk menentukan klasifikasi status tekanan darah penderita.

Sebagai tambahan dalam menentukan stadium hipertensi, seorang praktisi medis harus menentukan ada atau tidaknya penyakit pada target organ serta faktor resiko lainnya.
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Tekanan darah yang optimal terhadap resiko kardiovaskular adalah dibawah 120/88 m Hg. Namun demikian, nilai rendah yang tidak wajar harus dievaluasi untuk menemukan kelainan klinis yang signifikan.
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Berdasarkan atas pembacaan sebanyak 2 kali atau lebih pada pemeriksaan awal.

Nilai Normal Laboratorium Patologi Klinik

PRIA Hematologi Jenis Spesimen : darah Darah Lengkap Eritrosit : 4.5 5.9 (4.5 5.5) (juta/ul) Haemoglobin (Hb) : 13.5 17.5 (13 16) (g/dl) Hematokrit (Ht) : 41.0 53.0 (40 54) (%) Trombo sit : 150.000 440.000 (150.000 400.000) (/ul) Leukosit : 4.000 11.000 (5.000 10.000) (/ul) Laju Endap Darah (LED) : 0 10 (mm/jam) Diff count / Hitung Jenis Leukosit Basofil : 0 1 (%) Eosinofil : 1 3 (%) Batang : 2 6 (%) Segmen : 50 70 (%) Limfosit : 20 40 (%) Monosit : 2 8 (%)

Urinalisa Jenis Spesimen : urine midstream / porsi tengah Urine Lengkap Warna : kuning Kejernihan : jernih Glukosa : negatif Bilirubin : negatif Keton : negatif Berat jenis : 1.005 1.030 (1.003 1.030) Darah samar : negatif pH : 4.5 8.0 (5 8) Protein : negatif

Urobilinogen : 0.1 1.0 (EU/dl) Nitrit : negatif Esterase leukosit : negatif Sedimen Leukosit : 0 5 (0 3) (/LPB) Eritrosit : 0 1 (/LPB) Silinder : negatif (/LPK) Epitel : +1 Kristal : negatif Lain-lain : negatif

Kimia Darah Glukosa N : 80 100 (mg/dl) Glukosa PP : 100 - 120 (mg/dl) Glukosa S : < 150 (mg/dl) Kolesterol total : < 200 (mg/dl) Trigliserida : < 150 (mg/dl) HDL Kolesterol : > 55 (mg/dl) LDL kolesterol : < 150 (mg/dl) Ureum : 15 40 (mg/dl) Kreatinin : 0.5 1.5 (mg/dl) Asam urat : 3.4 7.0 (mg/dl) Bilirubin total : 0.2 1 (mg %) Bilirubin direk : 0 0.2 (mg %) Bilirubin indirek : 0.2 0.8 (mg %) SGOT : 5 40 (u/l) SGPT : 5 41 (u/l) Alkali Fosfatase : 45 190 (iu/l) Gamma GT : 6 28 (mu/ml) Protein total : 6.1 8.2 (gr %) Albumin : 3.8 5.0 (gr %) Globulin : 2.3 3.2 (gr %)

Imunologi dan Serologi Widal Salmonella typhy Salmonella paratyphy A Salmonella paratyphy B

Salmonella paratyphy C VDRL : negatif HbSAg Anti Hbs RF : < 8 (lu/dl) CRP : < 0.8 (Mg/dl) ASTO : < 200 (lu/dl)

Wanita Hematologi Jenis Spesimen : darah Darah Lengkap Eritrosit : 4 5 (juta/ul) Haemoglobin (Hb) : 12 15 (g/dl) Hematokrit (Ht) : 36 47 (%) Trombo sit : 150.000 400.000(/ul) Leukosit : 5.000 10.000(/ul) Laju Endap Darah (LED) : < 15 (mm/jam) Diff count / Hitung Jenis Leukosit Basofil : 0 1 (%) Eosinofil : 1 3 (%) Batang : 2 6 (%) Segmen : 50 70 (%) Limfosit : 20 40 (%) Monosit : 2 8 (%)

Urinalisa Jenis Spesimen : urine midstream / porsi tengah Urine Lengkap Warna : kuning Kejernihan : jernih Glukosa : negatif Bilirubin : negatif Keton : negatif Berat jenis : 1.003 1.030 Darah samar : negatif pH : 5 8 Protein : negatif Urobilinogen : 0.1 1.0 (EU/dl)

Nitrit : negatif Esterase leukosit : negatif Sedimen Leukosit : 0 3 (/LPB) Eritrosit : 0 1 (/LPB) Silinder : negatif (/LPK) Epitel : +1 Kristal : negatif Lain-lain : negatif

Kimia Darah Glukosa N : 80 100 (mg/dl) Glukosa PP : 100 - 120 (mg/dl) Glukosa S : < 150 (mg/dl) Kolesterol total : < 200 (mg/dl) Trigliserida : < 150 (mg/dl) HDL Kolesterol : > 65 (mg/dl) LDL kolesterol : < 150 (mg/dl) Ureum : 15 40 (mg/dl) Kreatinin : 0.5 1.5 (mg/dl) Asam urat : 2.4 5.7 (mg/dl) Bilirubin total : 0.2 1 (mg %) Bilirubin direk : 0 0.2 (mg %) Bilirubin indirek : 0.2 0.8 (mg %) SGOT : 5 40 (u/l) SGPT : 5 41 (u/l) Alkali Fosfatase : 45 190 (iu/l) Gamma GT : 4 18 (mu/ml) Protein total : 6.1 8.2 (gr %) Albumin : 3.8 5.0 (gr %) Globulin : 2.3 3.2 (gr %)

Imunologi dan Serologi Widal Salmonella typhy Salmonella paratyphy A Salmonella paratyphy B Salmonella paratyphy C

VDRL : negatif HbSAg Anti Hbs RF : < 8 (lu/dl) CRP : < 0.8 (Mg/dl) ASTO : < 200 (lu/dl)

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