09 September 2022
: Case report
A 44-Year-Old Alcohol-Dependent Man Who Recovered from Central Pontine Myelinolysis with Supportive Physical Therapy
Unusual clinical course, Unusual or unexpected effect of treatment, Educational Purpose (only if useful for a systematic review or synthesis)
Makoto Tobiume1BCDE, Nami Iha2BCD, Ayako Miyahira3DE, Shingo Kariya4ADEF*DOI: 10.12659/AJCR.937389
Am J Case Rep 2022; 23:e937389
Table 1. Summary of the patient’s past history and basic data on admission to the emergency hospital.
Past history | ||
---|---|---|
Education/Occupation | High school graduate/Factory worker since the age of 18 | |
Marriage/Child | Married at the age of early 20s/Three children | |
Alcohol drinking | More than 25 years since the age of 18 | |
Past illness | Chronic alcoholism diagnosed at the age of late 20s (details unknown) | |
Smoking/Drug abuse | None/None | |
Diet | Slightly unbalanced | |
Family history | Unremarkable | |
AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – gamma-glutamyl transferase. Bold font indicates abnormal values. | ||
Basic data on admission to the emergency hospital | Normal range | |
Body weight (kg)/height (cm) | 47.3/174 | |
Body mass index | 18.5–25 | |
Blood pressure (mmHg) | 109/72 | |
Heart rate (bpm) | 70 (Regular) | |
Body temperature (°C) | 36.4 | |
Blood test | ||
Red blood cell (×10/L) | 4.3–5.7 | |
White blood cell (×10/L) | 6.5 | 3.9–9.8 |
Platelet (×10/L) | 333 | 130–362 |
Sodium (mEq/L) | 135–147 | |
Potassium (mEq/L) | 4.0 | 3.5–5.0 |
Glucose (mg/dL) | 83 | 70–110 |
Blood urea nitrogen (mg/dL) | 8–20 | |
Creatinine (mg/dL) | 0.8 | 0.5–1.0 |
Total protein (g/dL) | 6.7–8.3 | |
Albumin (g/dL) | 3.5–5.0 | |
AST (IU/L) | 29 | 12–33 |
ALT (IU/L) | 32 | 5–35 |
LDH (IU/L) | 148 | 115–254 |
γ-GTP (IU/L) | 53 | 13–64 |
Phosphate (mg/dL) | 3.8 | 2.7–4.6 |
C-reactive protein (mg/dL) | 0.25 | <0.3 |
AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; γ-GTP – gamma-glutamyl transferase. Bold font indicates abnormal values. |