Illustrative case with serial ROTEM analyses
Case history: male patient aged 30 years, admitted 3 days after a tick bite with a 1-day history of fever, lethargy, headache, and anorexia. The patient developed gingival bleeding on days 7 and 8 of illness and was discharged on day 11 of illness. The patient did not receive any blood products during admission. (A) Haematological and coagulation variables. (B) ROTEM EXTEM S variables by day of illness. (C) EXTEM S TEMogram at day 6 of illness. (D) ROTEM EXTEM S TEMogram on day 10 of illness. EXTEM=extrinsically activated ROTEM. ROTEM=rotational thromboelastometry.