25 May 2023>: Articles
Severe Neutropenia and Hepatotoxicity After Carbimazole Drug Therapy for Hyperthyroidism in a Pediatric Patient: A Case Report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents, Adverse events of drug therapy, Educational Purpose (only if useful for a systematic review or synthesis)
Lina I. Alnajar A , Reem Alkahtani B , Malak A. Alasqah B , Abdelrahman Alanizi D , Nader Bin Sheraim E , Basma Alwahhabi E , Mohammed AlAboud E , Alaa A. Alhubaishi A*DOI: 10.12659/AJCR.939331
Am J Case Rep 2023; 24:e939331
Table 1. Changes in laboratory data during admission and after discharge.
Variable | Normal values | On admission | Day 2 | Day 3 | Day 4 | Day 5 | Day 6 | Day 55 |
---|---|---|---|---|---|---|---|---|
Alanine aminotransferase | 0–35 U/L | 195 U/L | 134 U/L | 113 U/L | 99 U/L | 90 U/L | 81 U/L | 29 U/L |
Aspartate aminotransferase | 0–35 U/L | 299 U/L | 194 U/L | 151 U/L | 125 U/L | 108 U/L | 91 U/L | 35 U/L |
Alkaline phosphatase | 47–119 U/L | 89 U/L | 84 U/L | 76 U/L | 79 U/L | 90 U/L | 124 U/L | 93 U/L |
Direct bilirubin | 0–3.4 µmol/L | 0.7 µmol/L | 0.7 µmol/L | 1.4 µmol/L | 0.9 µmol/L | 1 µmol/L | 0.8 µmol/L | 1.3 µmol/L |
Total bilirubin | 5–21 µmol/L | 4.5 µmol/L | 5.9 µmol/L | 5.8 µmol/L | 6.8 µmol/L | 7 µmol/L | 5.6 µmol/L | 8 µmol/L |
White blood cells | 4.00–12.00×10/L | 1.0×10/L | 0.90×10/L | 1.30×10/L | 7.10×10/L | 17.7×10/L | 23.50 ×10/L | 2.7×10/L |
Neutrophils | 1.40–7.70×10/L | 0.37×10/L | 0.24×10/L | 0.16×10/L | 5.11×10/L | 13.61×10/L | 18.54×10/L | 0.57 |
Neutrophils% | 40–60% | 37% | 27% | 12% | 5.8% | 76.9% | 78.9% | 21% |
Lymphocytes | 1.00–5.500.37×10/L | 0.58×10/L | 0.60×10/L | 1.07×10/L | 1.53×10/L | 3.04×10/L | 3.5×10/L | 2.0310/L |
Lymphocytes% | 20–40% | 58% | 67% | 82% | 21.6% | 17.2% | 14.9% | 75% |
Monocytes | 0.10–0.80×10/L | 0.03×10/L | 0.03×10/L | 0.05×10/L | 0.41×10/L | 0.92×10/L | 1.2×10/L | 0.1110/L |
Monocytes% | 2–8% | 3% | 3% | 4% | 5.8% | 5.2% | 5.1% | 4% |
Thyroid-stimulating hormone | 0.480–4.170 uIU/ml | 0.124 buIU/ml | NA | 0.71 uIU/ml | NA | NA | 0.05 uIU/ml | 0.05 uIU/ml |
Free T4 | 10.70–18.40 pmol/L | 10.2 pmol/L | NA | 11.3 pmol/L | NA | NA | 12.70 pmol/L | 12.7 pmol/L |