Case Report
Differing Tales of Two Patients after Receiving a Kidney Transplant from a Donor with Disseminated Intravascular Coagulation
Table 1
Pertinent laboratory values of the second patient describing the postoperative clinical course.
| Labs | Before surgery | 48 hours after transplant | 4 weeks later/at discharge | 2 years after transplant |
| WBC (×1000/L) | 10 | 8.6 | 5.2 | 6 | Hemoglobin (gm/dL) | 8.6 | 7.1 | 11 | 11.2 | Platelets (×1000/L) | 289 | 35 | 239 | 188 | Prothrombin time (sec) | 14 | 16 | | | Partial thromboplastin time (sec) | 30 | 32 | | | Lactate dehydrogenase (mg/mL) | | 622 | | | Haptoglobin (mg/dL) | | <20 | | | Coombs’ test | | Negative | | | ADAMTS13 activity | | 59% | | | HIT antibody PF-4 assay* | | Negative | | | Creatinine (mg/dL) | 14 | 12.5 | 1.4 | 1.3 |
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HIT: heparin induced thrombocytopenia; PF-4: platelet factor 4.
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