Table 5.

Selected Laboratory Abnormalities in Patients With Kaposi’s Sarcoma–Associated Herpesvirus Inflammatory Cytokine Syndrome (n = 6) and All Other Group 4 Patients (n = 153)

CharacteristicPossible KICS Subjects (n = 6)Remainder of Patients Without Microbiologically Proven Coinfection (n = 153)P Value
Abnormala, No. (%)Median (Range)Abnormala, No. (%)Median (Range)
KSHV-VL, copies/106 cells6 (100)699.6 (160.7–2 165 641)2 (1)1.00 (1.00–104 664.39)< .0001
K8.1 OD6 (100)2.1 (1.3–2.3)46 (30)0.48 (0.10–2.57).001
ORF73 OD4 (67)3.3 (0.32–7.4)33 (22)0.24 (0.03–8.14).003
IL-6, pg/mL5 (83)11.5 (1.6–3 307.4)97 (63)12.5 (1.6–1 045.4).978
CRP, mg/L6 (100)71.4 (11.1–304)131 (85)94.0 (0.38–564.9).767
Hemoglobin, g/dL5 (83)8.1 (6.9–14.9)130 (85)10 (4.9–17.4).231
White cell count, ×103/µL1 (17)7.6 (3.5–21.6)25 (16.3)6.8 (1.0–43.2).783
Platelet count, ×103/µL4 (67)185 (89.0–305)29 (19)280 (23.0–789).050
Albumin, g/L5 (83)24.0 (16.0–39.0)118 (77)28.0 (12.0–43.0).489
Sodium, mEq/L5 (83)132 (125–138)119 (78)131 (113–150).692
CharacteristicPossible KICS Subjects (n = 6)Remainder of Patients Without Microbiologically Proven Coinfection (n = 153)P Value
Abnormala, No. (%)Median (Range)Abnormala, No. (%)Median (Range)
KSHV-VL, copies/106 cells6 (100)699.6 (160.7–2 165 641)2 (1)1.00 (1.00–104 664.39)< .0001
K8.1 OD6 (100)2.1 (1.3–2.3)46 (30)0.48 (0.10–2.57).001
ORF73 OD4 (67)3.3 (0.32–7.4)33 (22)0.24 (0.03–8.14).003
IL-6, pg/mL5 (83)11.5 (1.6–3 307.4)97 (63)12.5 (1.6–1 045.4).978
CRP, mg/L6 (100)71.4 (11.1–304)131 (85)94.0 (0.38–564.9).767
Hemoglobin, g/dL5 (83)8.1 (6.9–14.9)130 (85)10 (4.9–17.4).231
White cell count, ×103/µL1 (17)7.6 (3.5–21.6)25 (16.3)6.8 (1.0–43.2).783
Platelet count, ×103/µL4 (67)185 (89.0–305)29 (19)280 (23.0–789).050
Albumin, g/L5 (83)24.0 (16.0–39.0)118 (77)28.0 (12.0–43.0).489
Sodium, mEq/L5 (83)132 (125–138)119 (78)131 (113–150).692

P values are by Fisher exact test or Wilcoxon rank-sum test, as appropriate.

Abbreviations: CRP, C-reactive protein; IL-6, interleukin 6; KICS, Kaposi’s sarcoma–associated herpesvirus inflammatory cytokine syndrome; KSHV, Kaposi’s sarcoma–associated herpesvirus; OD, optical density; ORF, open reading frame; VL, viral load.

a“Abnormal” refers to elevated KSHV-VL, >100 copies/106 cells; positive K8.1 and ORF73, OD values >1 (normalized cutoff); elevated IL-6, >1.8 pg/mL; elevated CRP, >10 mg/L; low hemoglobin, <12 g/dL (female) or <13 g/dL (male); low white cell count <3.9 ×103/µL; low platelet count, <186 ×103/µL; low albumin, <35 g/L; and low sodium, <135 mEq/L.

Table 5.

Selected Laboratory Abnormalities in Patients With Kaposi’s Sarcoma–Associated Herpesvirus Inflammatory Cytokine Syndrome (n = 6) and All Other Group 4 Patients (n = 153)

CharacteristicPossible KICS Subjects (n = 6)Remainder of Patients Without Microbiologically Proven Coinfection (n = 153)P Value
Abnormala, No. (%)Median (Range)Abnormala, No. (%)Median (Range)
KSHV-VL, copies/106 cells6 (100)699.6 (160.7–2 165 641)2 (1)1.00 (1.00–104 664.39)< .0001
K8.1 OD6 (100)2.1 (1.3–2.3)46 (30)0.48 (0.10–2.57).001
ORF73 OD4 (67)3.3 (0.32–7.4)33 (22)0.24 (0.03–8.14).003
IL-6, pg/mL5 (83)11.5 (1.6–3 307.4)97 (63)12.5 (1.6–1 045.4).978
CRP, mg/L6 (100)71.4 (11.1–304)131 (85)94.0 (0.38–564.9).767
Hemoglobin, g/dL5 (83)8.1 (6.9–14.9)130 (85)10 (4.9–17.4).231
White cell count, ×103/µL1 (17)7.6 (3.5–21.6)25 (16.3)6.8 (1.0–43.2).783
Platelet count, ×103/µL4 (67)185 (89.0–305)29 (19)280 (23.0–789).050
Albumin, g/L5 (83)24.0 (16.0–39.0)118 (77)28.0 (12.0–43.0).489
Sodium, mEq/L5 (83)132 (125–138)119 (78)131 (113–150).692
CharacteristicPossible KICS Subjects (n = 6)Remainder of Patients Without Microbiologically Proven Coinfection (n = 153)P Value
Abnormala, No. (%)Median (Range)Abnormala, No. (%)Median (Range)
KSHV-VL, copies/106 cells6 (100)699.6 (160.7–2 165 641)2 (1)1.00 (1.00–104 664.39)< .0001
K8.1 OD6 (100)2.1 (1.3–2.3)46 (30)0.48 (0.10–2.57).001
ORF73 OD4 (67)3.3 (0.32–7.4)33 (22)0.24 (0.03–8.14).003
IL-6, pg/mL5 (83)11.5 (1.6–3 307.4)97 (63)12.5 (1.6–1 045.4).978
CRP, mg/L6 (100)71.4 (11.1–304)131 (85)94.0 (0.38–564.9).767
Hemoglobin, g/dL5 (83)8.1 (6.9–14.9)130 (85)10 (4.9–17.4).231
White cell count, ×103/µL1 (17)7.6 (3.5–21.6)25 (16.3)6.8 (1.0–43.2).783
Platelet count, ×103/µL4 (67)185 (89.0–305)29 (19)280 (23.0–789).050
Albumin, g/L5 (83)24.0 (16.0–39.0)118 (77)28.0 (12.0–43.0).489
Sodium, mEq/L5 (83)132 (125–138)119 (78)131 (113–150).692

P values are by Fisher exact test or Wilcoxon rank-sum test, as appropriate.

Abbreviations: CRP, C-reactive protein; IL-6, interleukin 6; KICS, Kaposi’s sarcoma–associated herpesvirus inflammatory cytokine syndrome; KSHV, Kaposi’s sarcoma–associated herpesvirus; OD, optical density; ORF, open reading frame; VL, viral load.

a“Abnormal” refers to elevated KSHV-VL, >100 copies/106 cells; positive K8.1 and ORF73, OD values >1 (normalized cutoff); elevated IL-6, >1.8 pg/mL; elevated CRP, >10 mg/L; low hemoglobin, <12 g/dL (female) or <13 g/dL (male); low white cell count <3.9 ×103/µL; low platelet count, <186 ×103/µL; low albumin, <35 g/L; and low sodium, <135 mEq/L.

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