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14 April 2022 : Case report  USA

Waterhouse-Friderichsen Syndrome with Bilateral Adrenal Hemorrhage Associated with Methicillin-Resistant Staphylococcus aureus (MRSA) Bacteremia in an Adult Patient with History of Intravenous Drug Use

Unusual clinical course, Rare disease, Educational Purpose (only if useful for a systematic review or synthesis)

Thomas Kalinoski1EF*

DOI: 10.12659/AJCR.936096

Am J Case Rep 2022; 23:e936096

Table 2. Relevant laboratory profile of the patient at the time of presentation.

Laboratory test (serum)Value
Hemoglobin (g/dL, normal 13.2–16.6)12.4
White blood cells (cells/µL, normal 4500–11 000)14.7
Platelets (cells/µL, normal 150 000–450 000)306
Sodium (meq/L, normal 135–145)138
Potassium (meq/L, normal 3.5–5.1)3.5
Chloride (meq/L, normal 98–107)105
Bicarbonate (meq/L, normal 22–29)24
Blood urea nitrogen (mg/dL, normal 6–24)13
Creatinine (mg/dL, normal 0.80–1.30)0.69
Calcium (mg/dL, normal 8.5–10.1)8.3
Glucose (mg/dL, normal 70–99)84
AST/SGOT (U/L, normal 5–35)55
ALT/SGPT (U/L, normal 12–78)47
Alkaline phosphatase (U/L, normal 46–116)174
Total bilirubin (mg/dL, normal 0.2–1.0)1.1
Albumin (g/dL, normal 3.3–5.3)2.4
International normalized ratio (normal 0.8–1.2)1.3
Lactic acid (normal 0.5–2.2 mmol/L)1.2
Creatinine kinase (normal 22–198 U/L)31

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