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02 October 2024 : Case report  Japan

Management of Obesity Hypoventilation Syndrome in Extreme Obesity: A Case Study

Challenging differential diagnosis, Management of emergency care, Rare coexistence of disease or pathology

Yuya Miyoshi1ABDEF, Tetsuya Yumoto1ABDEF*, Yoshinori Kosaki ORCID logo1ADF, Takashi Hongo1ADF, Kohei Tsukahara1ADF, Atsunori Nakao1AEF, Hiromichi Naito ORCID logo1AEF

DOI: 10.12659/AJCR.945112

Am J Case Rep 2024; 25:e945112

Table 1. Laboratory data on admission.

Arterial blood gas (15 L/min of oxygen)Biochemistry
pH7.103Total protein7.5 g/dL
PaCO125 mmHgAlbumin3.5 g/dL
PaO80.0 mmHgTotal bilirubin5.11 mg/dL
HCO37.3 mmol/LDirect bilirubin2.81 mg/dL
Base excess0.9 mmol/LGGT24 IU/L
Lactate3.2 mmol/LAST77 IU/L
ALT51 IU/L
White blood cells11,270/μLLDH475 IU/L
Neutrophil (%)74.6Creatinine kinase1,403 IU/L
Lymphocyte (%)15.6BUN18.7 mg/dL
Hemoglobin17.0 g/dLCreatinine0.91 mg/dL
Hematocrit60.4%Sodium141 mEq/L
Platelet count22.5×10/μLPotassium5.6 mEq/L
Chloride98 mEq/L
PT (%)35Glucose141 mg/dL
PT-INR1.70CRP4.69 mg/dL
APTT39.5 sProcalcitonin0.508 ng/mL
Fibrinogen261 mg/dLBNP562.4 pg/mL
D-dimer26.3 μL/mL
PT – prothrombin time; PT-INR – prothrombin time-international normalized ratio; APTT – activated partial thromboplastin time; GGT – gamma-glutamyl transpeptidase; AST – aspartate aminotransferase; ALT – alanine aminotransferase; LDH – lactate dehydrogenase; BUN – blood urea nitrogen; CRP – C-reactive protein; BNP – brain natriuretic peptide.

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