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17 February 2022: Articles

Myocarditis, Pulmonary Hemorrhage, and Extensive Myositis with Rhabdomyolysis 12 Days After First Dose of Pfizer-BioNTech BNT162b2 mRNA COVID-19 Vaccine: A Case Report

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care, Unexpected drug reaction, Educational Purpose (only if useful for a systematic review or synthesis)

Sara Al-Rasbi A , Juhaina Salim Al-Mqbali A* , Rajaa Al-Farsi B , Moza Ali Al Shukaili B , Maryam H. Al-Riyami E , Zubaida Al Falahi E , Hatem Al Farhan A , Abdullah M. Al Alawi A

DOI: 10.12659/AJCR.934399

Am J Case Rep 2022; 23:e934399

Table 1. Results summary of the presenting laboratory tests.

TestResultNormal range
  Hb (g/L)18.111.5–15.5
  Haematocrit (L/L)0.5790.350–0.450
  Platelet count (10/L)245150–450
  White cell count (10/L)28.72.2–10.0
  Neutrophils (10/L)23.11.0–5.0
  D-dimer (mg/L FEU)5.00.2–0.7
  CRP (mg/L)110–5
  Troponin T (ng/L)1331
  CK (U/L)9304639–308
  ProBNP (pg/ml)281120–85
  Cardiac isoenzyme of CK (U/L)1290.90.0–25.0
  eGFR (ml/min/1.73 m)23>90
  Venous pH7.197.35–7.45
  PCO (mmHg)45.336–48
  HCO3 (mmol/L)1521.8–26.9
  Lactate (mmol/L)5.60.5–1.6
  Anion gap235–13
  Potassium (mmol/L)5.63.5–5.1
  Sodium (mmol/L)134135–145
  Calcium, albumin adjusted (mmol/L)1.842.15–2.55
  Phosphate (mmol/L)20.81–1.45
Hb – hemoglobin; CRP – C reactive protein; CK – creatine kinase; ProBNP – N-terminal pro B-type natriuretic peptide; eGFR – estimated glomerular filtration rate.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923