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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 F

DOI: 10.12659/AJCR.926929

Am J Case Rep 2020; 21:e926929

Table 1. Pertinent laboratory values with reference ranges.

Laboratory testDay 0Day 3Day 6Reference range
BUN13.561562.5–6.42 mmol/L
Creatinine0.162.410.06–0.12 mmol/L
AST193946115–37 U/L
ALT1861117616–61 U/L
Bilirubin27.422.2173.42–17 µmol/L
LDH37328085–227 U/L
TSH2.270.36–3.74 uIU/mL
Haptoglobin16.84–24 µmol/L
WBC5.311.312.74.5–11.0 K/uL
Hgb12.81110.813.5–18.0 g/dL
Platelets5058153140–440 K/uL
Reticulocyte count0.480.50–2.00%
pCO23135–46 mmHg
pO26860–80 mmHg
TCO22021–32 mmol/L
HCO319.121.0–26.0 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.

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