23 October 2020: Articles
Amiodarone Toxicity Presenting with Acute Onset of Systemic Inflammatory Response Syndrome and Multiorgan Failure Mimicking Sepsis
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Adverse events of drug therapy, Rare coexistence of disease or pathology
Irfanali R. Kugasia A* , Mohsin Ijaz C , Ahsan Khan B , Yashwanth Jasti FDOI: 10.12659/AJCR.926929
Am J Case Rep 2020; 21:e926929
Table 1. Pertinent laboratory values with reference ranges.
| Laboratory test | Day 0 | Day 3 | Day 6 | Reference range |
|---|---|---|---|---|
| BUN | 13.5 | 61 | 56 | 2.5–6.42 mmol/L |
| Creatinine | 0.16 | 2.4 | 1 | 0.06–0.12 mmol/L |
| AST | 193 | 94 | 61 | 15–37 U/L |
| ALT | 186 | 111 | 76 | 16–61 U/L |
| Bilirubin | 27.4 | 22.2 | 17 | 3.42–17 µmol/L |
| LDH | 373 | 280 | 85–227 U/L | |
| Procalcitonin | 3.65 | |||
| TSH | 2.27 | 0.36–3.74 uIU/mL | ||
| Haptoglobin | 16.8 | 4–24 µmol/L | ||
| WBC | 5.3 | 11.3 | 12.7 | 4.5–11.0 K/uL |
| Hgb | 12.8 | 11 | 10.8 | 13.5–18.0 g/dL |
| Platelets | 50 | 58 | 153 | 140–440 K/uL |
| Bands | 35 | 38 | 1 | % |
| Reticulocyte count | 0.48 | 0.50–2.00% | ||
| pH | 7.4 | 7.35–7.45 | ||
| pCO2 | 31 | 35–46 mmHg | ||
| pO2 | 68 | 60–80 mmHg | ||
| TCO2 | 20 | 21–32 mmol/L | ||
| HCO3 | 19.1 | 21.0–26.0 mmol/L | ||
| Base excess | −6 | −2.0–3.0 mmol/L | ||
| BUN – blood urea nitrogen; AST – aspartate transaminase; ALT – alanine transaminase; LDH – lactate dehydrogenase; TSH – thyroid stimulating hormone; WBC – white blood cell; Hgb – hemoglobin; PCO2 – partial pressure of CO; PO2 – partial pressure of oxygen; TCO2 – total CO2 content of the serum; HCO3 – calculated serum bicarbonate ion; O2 – oxygen. | ||||