Case Report

Acute Warfarin Toxicity as Initial Manifestation of Metastatic Liver Disease

Table 1

Patient’s laboratory values during hospitalization until death.

Parameter
Hour (hr) 0hr 6hr 15hr 18hr 22hr 30

PT (seconds)>169275.357.761.172130.3
INRUnrecordable23.85.15.46.411.4
PTT (seconds)9266.844.346.754.198.9
Serum albumin (g/dL)2.82.42.62.11.8
Alanine aminotransferase (unit/L)4201234120113122179
Aspartate transaminase (unit/L) 9732475234425483681
Alkaline phosphatase (unit/L)435393369403379
Total bilirubin (mg/dL)11.41.51.31.3
Lactic acid level (mmoles/L)13.36.6171815
LDH (unit/L)8003
Troponin (ng/mL)0.210.320.480.881.58
CK (unit/L)8721059122011791283
CK-MB (ng/mL)40.4244.0153.7566.0672.28
CK-MB%4.64.24.25.65.6
Haemoglobin (g/dL)127.29.78.77.8
Bicarbonate (mEq/L)1013563