28 August 2021: Articles
Viscerocutaneous Loxoscelism Manifesting with Myocarditis: A Case Report
Challenging differential diagnosis, Rare coexistence of disease or pathology
Travis R. Langner A , Hammad A. Ganatra D* , Julianne Schwerdtfager B , William Stoecker B , Stephen Thornton ADOI: 10.12659/AJCR.932378
Am J Case Rep 2021; 22:e932378
Table 1. Patient’s laboratory results and biochemical markers during hospitalization.
| Admit (Day 1) | Day 2 | Day 4 | Day 6 | Day 7 | Day 8 | Day 10 | Day 13 | |
|---|---|---|---|---|---|---|---|---|
| Hemoglobin (gm/dL) | 14.9 | 13.3 | 12.6 | 7.9 | 7 | 5.9 | 10.8 | 9.8 |
| Hematocrit (%) | 45.5 | 41 | 38.2 | 24.4 | 19.9 | 16.8 | 32.2 | 29.5 |
| Platelets (x10/µL) | 188 | 125 (L) | 72 (L) | 84 (L) | 97 (L) | 126 (L) | 145 (L) | 240 |
| WBC (x10/µL) | 2.3 (L) | 10 | 12.5 (H) | 14.3 (H) | 21.1 (H) | 36.1 (H) | 33.7 (H) | 17.4 (H) |
| Neutrophils (%) | 84 (H) | 85 (H) | 89 (H) | |||||
| PTT (s) | 40.7 (H) | 33 | 27 | 27.2 | 22.8 | 24 | 21 | |
| INR | 3 (H) | 1.4 | 1.2 | 1.3 | 1.3 | 1.2 | 1.1 | |
| Fibrinogen (mg/dL) | 217 | 502 (H) | 689 (H) | 584 (H) | 335 | 134 (L) | 74 (L) | |
| D-dimer (ng/mL) | 1804 (H) | 1127 (H) | 653 (H) | 580 (H) | 2027 (H) | 334 (H) | 219 (H) | |
| LDH (units/L) | 340 (H) | 215 (H) | 552 (H) | 718 (H) | 1067 (H) | |||
| Plasma free hemoglobin (mg/dL) | 50 (H) | 50 (H) | 60 (H) | |||||
| Troponin-I (ng/mL) | 0.29 (H) | 0.22 (H) | 0.09 (H) | 0.04 | ||||
| Procalcitonin (ng/mL) | 9.67 (H) | 5.22 (H) | 6.25 (H) | 3.42 (H) | 1.2 (H) | 0.29 | ||
| CRP (mg/dL) | 0.02 | 5.81 (H) | 6.19 (H) | |||||
| Ferritin (ng/mL) | 1442 (H) | 1408 (H) | ||||||
| Triglycerides (mg/dL) | 157 (H) | |||||||
| Creatinine (mg/dL) | 1.08 | 1.17 | 1.01 | 0.73 | 1.06 | 0.88 | 0.56 | 0.57 |
| AST (units/L) | 162 (H) | 22 | 43 (H) | |||||
| ALT (units/L) | 241 (H) | 45 | 29 | |||||
| Total Bilirubin (mg/dL) | 4 (H) | 7.5 (H) | 6.6 (H) | 4.5 (H) | ||||
| Direct Bilirubin (mg/dL) | 2.2 (H) | 2.4 (H) | 1.9 (H) | |||||
| H – abnormally high values; L – abnormally low values. | ||||||||