Int J Clin Pediatr

International Journal of Clinical Pediatrics, ISSN 1927-1255 print, 1927-1263 online, Open Access

Article copyright, the authors; Journal compilation copyright, Int J Clin Pediatr and Elmer Press Inc

Journal website https://www.theijcp.org

Case Report

Volume 11, Number 2, June 2022, pages 45-50

Acute Submandibular Sialadenitis in a 9-Month-Old Infant: A Case Report

Figure 2. Submandible ultrasonography (January 29, 2022). There are multiple enlargements of bilateral submandible lymph nodes, especially left (left: about 2.07 × 1.78 cm, right: about 1.86 × 0.79 cm).

**Table 1.** Laboratory Results for First Admission on January 24, 2022
	Result	Reference value
Results indicate microcytic hypochromic anemia, Mentzer index 14.2, leukocytosis, and increased CRP. RBC: red blood cell; MCV: mean corpuscular volume; MCH: mean corpuscular hemoglobin; MCHC: mean corpuscular hemoglobin concentration; CRP: C-reactive protein.
Hb (g/dL)	9.0	10.5 - 14.0
Hematocrit (%)	27.0	33 - 39
RBC (× 10⁶/µL)	4.36	3.7 - 5.3
Leukocyte (× 10³/µL)	23.4	6 - 17.5
Thrombocyte (× 10³/µL)	431	150 - 450
MCV (fL)	61.9	76.0 - 90.0
MCH (pg)	20.6	26.0 - 30.0
MCHC (g/dL)	33.3	32 - 36
Basophile (%)	0.3	0.0 - 1.0
Eosinophile (%)	0.0	1.0 - 3.0
Neutrophile (%)	40.3	50 - 81
Lymphocyte (%)	47.3	20 - 40
Monocyte (%)	12.1	2.0 - 8.0
Basophile number (× 10³/µL)	0.08	< 1.0
Eosinophil number (× 10³/µL)	0.01	< 3.0
Neutrophil number (× 10³/µL)	9.40	2.5 - 7.0
Lymphocyte number (× 10³/µL)	11.07	1.25 - 4.0
Monocyte number (× 10³/µL)	2.84	0.3 - 1.0
CRP (mg/L)	119.2	≤ 5

Table 1. Laboratory Results for First Admission on January 24, 2022

Result

Reference value

Results indicate microcytic hypochromic anemia, Mentzer index 14.2, leukocytosis, and increased CRP. RBC: red blood cell; MCV: mean corpuscular volume; MCH: mean corpuscular hemoglobin; MCHC: mean corpuscular hemoglobin concentration; CRP: C-reactive protein.

Hb (g/dL)

9.0

10.5 - 14.0

Hematocrit (%)

27.0

33 - 39

RBC (× 10⁶/µL)

4.36

3.7 - 5.3

Leukocyte (× 10³/µL)

23.4

6 - 17.5

Thrombocyte (× 10³/µL)

431

150 - 450

MCV (fL)

61.9

76.0 - 90.0

MCH (pg)

20.6

26.0 - 30.0

MCHC (g/dL)

33.3

32 - 36

Basophile (%)

0.3

0.0 - 1.0

Eosinophile (%)

0.0

1.0 - 3.0

Neutrophile (%)

40.3

50 - 81

Lymphocyte (%)

47.3

20 - 40

Monocyte (%)

12.1

2.0 - 8.0

Basophile number (× 10³/µL)

0.08

< 1.0

Eosinophil number (× 10³/µL)

0.01

< 3.0

Neutrophil number (× 10³/µL)

9.40

2.5 - 7.0

Lymphocyte number (× 10³/µL)

11.07

1.25 - 4.0

Monocyte number (× 10³/µL)

2.84

0.3 - 1.0

CRP (mg/L)

119.2

≤ 5

**Table 2.** Laboratory Results of Evaluation of Complete Blood Count on Day 6 (January 29, 2022)
	Result	Reference value
Results indicate microcytic hypochromic anemia, Mentzer index 15.2, leukocytosis, thrombocytosis, and increased CRP. RBC: red blood cell; MCV: mean corpuscular volume; MCH: mean corpuscular hemoglobin; MCHC: mean corpuscular hemoglobin concentration; CRP: C-reactive protein.
Hb (g/dL)	8.8	10.5 - 14.0
Hematocrit (%)	28.0	33 - 39
RBC (× 10⁶/µL)	4.29	3.7 - 5.3
Leukocyte (× 10³/µL)	15.4	6 - 17.5
Thrombocyte (× 10³/µL)	480	150 - 450
MCV (fL)	65.3	76.0 - 90.0
MCH (pg)	20.5	26.0 - 30.0
MCHC (g/dL)	31.4	32 - 36
Basophile (%)	0.3	0.0 - 1.0
Eosinophile (%)	1.7	1.0 - 3.0
Neutrophile (%)	40.7	50 - 81
Lymphocyte (%)	44.7	20 - 40
Monocyte (%)	12.8	2.0 - 8.0
Basophile number (×10³/µL)	0.02	< 1.0
Eosinophil number (×10³/µL)	0.26	< 3.0
Neutrophil number (×10³/µL)	6.27	2.5 - 7.0
Lymphocyte number (×10³/µL)	6.90	1.25 - 4.0
Monocyte number (×10³/µL)	1.97	0.3 - 1.0
CRP (mg/L)	25.8	≤ 5

Table 2. Laboratory Results of Evaluation of Complete Blood Count on Day 6 (January 29, 2022)

Result

Reference value

Results indicate microcytic hypochromic anemia, Mentzer index 15.2, leukocytosis, thrombocytosis, and increased CRP. RBC: red blood cell; MCV: mean corpuscular volume; MCH: mean corpuscular hemoglobin; MCHC: mean corpuscular hemoglobin concentration; CRP: C-reactive protein.

Hb (g/dL)

8.8

10.5 - 14.0

Hematocrit (%)

28.0

33 - 39

RBC (× 10⁶/µL)

4.29

3.7 - 5.3

Leukocyte (× 10³/µL)

15.4

6 - 17.5

Thrombocyte (× 10³/µL)

480

150 - 450

MCV (fL)

65.3

76.0 - 90.0

MCH (pg)

20.5

26.0 - 30.0

MCHC (g/dL)

31.4

32 - 36

Basophile (%)

0.3

0.0 - 1.0

Eosinophile (%)

1.7

1.0 - 3.0

Neutrophile (%)

40.7

50 - 81

Lymphocyte (%)

44.7

20 - 40

Monocyte (%)

12.8

2.0 - 8.0

Basophile number (×10³/µL)

0.02

< 1.0

Eosinophil number (×10³/µL)

0.26

< 3.0

Neutrophil number (×10³/µL)

6.27

2.5 - 7.0

Lymphocyte number (×10³/µL)

6.90

1.25 - 4.0

Monocyte number (×10³/µL)

1.97

0.3 - 1.0

CRP (mg/L)

25.8

≤ 5

**Table 3.** Peripheral Blood Smear on January 24, 2022
Erythrocyte: normochromic normocytic
Leucocyte: increased of number, lymphocytosis, atypical lymphocyte (++) 0/1/8//27/58/6
Thrombocyte: impression of normal number and morphology
Impression: normochromic normocytic anemia, leukocytosis, lymphocytosis, and atypical lymphocyte (++)

Table 3. Peripheral Blood Smear on January 24, 2022

Erythrocyte: normochromic normocytic

Leucocyte: increased of number, lymphocytosis, atypical lymphocyte (++) 0/1/8//27/58/6

Thrombocyte: impression of normal number and morphology

Impression: normochromic normocytic anemia, leukocytosis, lymphocytosis, and atypical lymphocyte (++)