Case Report

Isoflurane Induced Malignant Hyperthermia in a Patient with Glucose 6-Phosphate Dehydrogenase Deficiency and Growth Hormone Abuse

Table 1

MH-associated laboratory finding in the 1st day of hospitalization.

Normal rangeBefore operationIn the end of operation30 minutes after the end of operation1 hour after the end of operation2 hours after the end of operation6 hours after the operation

PH7.35–7.456.817.187.337.387.47
PCO235–45 mmHg>1508444.842.331.6
HCO322–28 milliequivalents per liter (mEq/L)4.531.424.12523.4
BEecf0 ± 4 mEq/L−12.4−2.8−1.9−0.3−0.4
K+3.6–5.2 millimoles per liter (mmol/L)65.6
Ca8.6–10.3 mg/dL15.47.98.2
WBC4,500–11,000 WBCs per microliter700019400
CKMB5–25 IU/L543646
LDH140–280 units per liter (U/L)1309
CPK39–308  U/L in males4942
AST7–56 units per liter (U/L)136
ALT7–56 units per liter (U/L)184
Alk-P44–147 international units per liter (IU/L)828