Table 1. Laboratory findings during hospitalization of a 39 year-old male patient with suspected rhabdomyolysis.
| Day | 1 | 2 | 3 | 4 | 5 | 9 | 12 | 15 | 18 | 23 | 27 | 30 | 33 | 40 | 45 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Urea (mg/dl) | 195 | 243 | 184 | 123 | 124 | 118 | 95 | 91 | 109 | 33 | 40 | 31 | 44 | – | 35 |
| Creatinine (mg/dl) | 8.1 | 9.9 | 10.1 | 7.7 | 7.3 | 5.1 | 3.5 | 2.8 | 3.1 | 0.8 | 0.5 | 1.1 | 0.6 | – | 1.0 |
| Potassium (mEq/l) | 4.9 | 7.6 | 5.5 | 4.4 | 4.3 | 4.0 | 4.7 | 4.6 | 4.6 | 4.8 | 4.7 | 4.2 | 6.4 | – | 4.4 |
| Sodium (mEq/l) | 129 | 126 | 133 | 133 | 129 | 128 | 135 | 133 | 133 | 133 | 131 | 132 | 137 | – | 138 |
| Ionic Calcium* | 1.03 | 0.90 | 1.06 | 1.14 | – | 1.38 | – | 1.36 | – | 1.25 | 1.28 | 1.34 | 1.18 | – | 1.32 |
| Uric acid (mg/dl) | – | 12.5 | – | 7.7 | – | – | 6.5 | 5.5 | – | – | – | – | – | – | – |
| Hematocrit (%) | 32.5 | 30.5 | 26.9 | 24.8 | 20.2 | 19.9 | 18.9 | 22.8 | 20.9 | 27.1 | 26.6 | 26.6 | 27.6 | 34.0 | 30.3 |
| Hemoglobin (g/dl) | 11.4 | 10.0 | 8.93 | 8.29 | 6.80 | 6.68 | 6.31 | 7.51 | 6.98 | 8.93 | 9.1 | 9.1 | 8.53 | 11.0 | 10.1 |
| White blood cells (x 103/mm3) | 9.3 | 8.82 | 7.98 | 7.6 | 7.47 | 7.95 | 14.4 | 8.15 | 9.03 | 10.9 | 10.9 | 10.9 | 5.09 | 7.04 | 13.2 |
| Platelets (x 103/mm3) | 148 | 136 | 133 | 145 | 152 | 271 | 132 | 112 | 128 | 339 | 438 | 438 | 382 | 371 | – |
| Prothrombin time** | 11.0 | – | 12.5 | 12.4 | – | – | – | – | – | – | 14.6 | 13.9 | – | – | – |
| Partial thromboplastin time*** | 28.1 | – | 36.9 | 52.2 | – | – | – | – | – | – | 22.6 | 31.7 | – | – | – |
| AST (IU/l) | – | 730 | – | – | 293 | 75 | 38 | 67 | 67 | 74 | – | – | – | – | – |
| ALT (IU/l) | – | 480 | – | – | 256 | 134 | – | – | – | – | – | – | – | – | – |
| Direct bilirubin (mg/dl) | – | – | 0.07 | – | 0.20 | – | – | – | – | – | – | – | – | – | – |
| Indirect bilirubin (mg/dl) | – | – | 0.59 | – | 0.98 | – | – | – | – | – | – | – | – | – | – |
| LDH (IU/l) | – | 3280 | 3447 | – | – | – | 1065 | – | – | – | – | – | – | – | – |
| CK (IU/l) | – | 26320 | 39420 | 20570 | – | 1740 | 653 | 202 | 202 | 105 | – | 149 | 125 | – | – |
| Urine – Red blood cells | – | +++ | +++ | – | – | +++ | + | + | – | – | – | – | – | – | – |
| White blood cells | – | +++ | +++ | – | – | +++ | +++ | ++ | – | – | – | – | – | – | – |
| Protein | – | +++ | +++ | – | – | +++ | ++ | + | – | – | – | – | – | – | – |
AST: aspartate amino transaminase; ALT: alanine amino transaminase; LDH: lactate dehydrogenase; CK: creatine kinase;
*
normal ionic calcium levels: 1.12-1.32 mEq/l
**
control for prothrombin time = 13"
***
control for partial thromboplastin time = 28".