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) 0 | hr 6 | hr 15 | hr 18 | hr 22 | hr 30 |
| PT (seconds) | >169 | 275.3 | 57.7 | 61.1 | 72 | 130.3 | INR | Unrecordable | 23.8 | 5.1 | 5.4 | 6.4 | 11.4 | PTT (seconds) | 92 | 66.8 | 44.3 | 46.7 | 54.1 | 98.9 | Serum albumin (g/dL) | 2.8 | | 2.4 | 2.6 | 2.1 | 1.8 | Alanine aminotransferase (unit/L) | 420 | | 1234 | 1201 | 1312 | 2179 | Aspartate transaminase (unit/L) | 973 | | 2475 | 2344 | 2548 | 3681 | Alkaline phosphatase (unit/L) | 435 | | 393 | 369 | 403 | 379 | Total bilirubin (mg/dL) | 1 | | 1.4 | 1.5 | 1.3 | 1.3 | Lactic acid level (mmoles/L) | 13.3 | | 6.6 | 17 | 18 | 15 | LDH (unit/L) | | | 8003 | | | | Troponin (ng/mL) | 0.21 | | 0.32 | 0.48 | 0.88 | 1.58 | CK (unit/L) | 872 | | 1059 | 1220 | 1179 | 1283 | CK-MB (ng/mL) | 40.42 | | 44.01 | 53.75 | 66.06 | 72.28 | CK-MB% | 4.6 | | 4.2 | 4.2 | 5.6 | 5.6 | Haemoglobin (g/dL) | 12 | | 7.2 | 9.7 | 8.7 | 7.8 | Bicarbonate (mEq/L) | 10 | 13 | | 5 | 6 | 3 |
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