Case Report
The Conundrum of Septic Shock Imitators in Patients with Hematologic Cancers: Case Presentation and Possible Differential Diagnoses
Table 1
Time course of some blood biological variables.
| Variable | Timing | R.F. | ED (6 h before ICU admission) | ICU admission | +4 h |
| pH | n.a. | 6.97 | 7.06 | 7.38–7.42 | pCO2(mmHg) | n.a. | 68.4 | 53.1 | 35–45 | PaO2 / FIO2 (mmHg) | n.a. | 94 | 66 | ≥400 | (mEq/L) | n.a. | 16.4 | 14.8 | 23–25 | Lactate (mEq/L) | n.a. | 6.7 | 10.8 | 1–2 | Hb (g/dl) | 14.1 | 12.5 | 13.5 | 13–16 | WBC/ml | 1820 | 650 | 350 | 4000–11000 | Platelets/ml | 131.000 | 89.000 | 14.000 | 180–350 | IRN | n.a. | 1.53 | 1.84 | 0.78–1.2 | aPTTr | n.a. | 0.95 | 2.44 | 0.76–1.18 | Fibrinogen (mg/dl) | n.a. | 272 | 219 | 180–400 | D-dimer (mcg/LFEU) | n.a. | 2.11 | 16000 | <5 | Glycemia (mg/dl) | 132 | 80 | 72 | 90–110 | Creatinine (mg/dl) | 1.40 | 2.76 | 2.90 | 0.8–1.1 | BUN (mg/dl) | 66 | 80 | 83 | 15–50 | ALT(U/L) | 29 | n.a. | 65 | 0–40 | AST (U/L) | 55 | n.a. | 69 | 0–40 | Amilase (U/L) | 35 | 79 | 80 | 8–53 | Ferritin mcg/m | n.a. | 1750 | n.a. | 14–300 | Triglycerydes (mg/dl) | n.a. | 180 | n.a. | <170 | C-reactive protein (mg/dl) | 36.2 | 142 | n.a. | <5.0 | Total bilirubin (mg/dl) | n.a. | 0.69 | 0.79 | 0.70–1.20 |
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ED: emergency department; R.F.: reference values; n.a.: not available; FEU: fibrinogen equivalent unit.
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