Case Report

Anasarca, Fever, Thrombocytopenia, Organomegaly, and Multiorgan Failure in a 24-Year-Old Pregnant Woman

Table 1

Evolution of biological tests in ICU.

Day 0Day 4Day 7Day 9Day 12Day 16Day 20Day 30
Admission in ICUPressor supportDialysisSteroidsStop pressor supportStop ventilationStop dialysis

Leucocyte count (G/L)17,327,924,136,438,123,527,919,8
Hemoglobin (g/dL)9,26,98,68,17,67,98,27,8
Platelets (G/L)543026223059183116
Serum creatinine (µmol/L)7513715115399867360
Fibrinogen (mg/dL)930780790530520640610410
C-reactive protein (mg/dL)34,328,931,429,521,42,9
Serum ferritin (ng/mL)5269391053261
Triglycerides (mg/dL)240430
Albumin (g/dL)1,61,822,42,52,9
Aspartate amino-transferase (IU/L)769431344635
Alanine amino-transferase (IU/L)2132521311558118
Alkaline phosphatase (IU/L)479355176204655949261
Lactate dehydrogenase (IU/L)240443497505161
Blood lactate (mmol/L)1,250,62,72,72,22,11,43

Reference Ranges. Leucocyte count (4,0–10 G/L), hemoglobin (11–16 g/dL), platelets (150–450 G/L), serum creatinine (45–90 µmol/L), fibrinogen (200–400 mg/dL), C-reactive protein (0–0,4 mg/dL), serum ferritin (12–180 ng/mL), triglycerides (43–148 mg/dL), albumin (3,2–5,5 g/dL), aspartate amino-transferase (0–40 (IU/L)), alanine amino-transferase (0–40 IU/L), alkaline phosphatase (115–359 IU/L), lactate dehydrogenase (85–250 IU/L), and blood lactate (0,6–2,1 mmol/L).