Case Report
Severe Undifferentiated Vasoplegic Shock Refractory to Vasoactive Agents Treated with Methylene Blue
Table 1
Bloodwork on initial presentation to the emergency department.
| | At admission | Normal range |
| Hemoglobin | 128 | 137–180 g/L | White blood cell | 8.6 | 4.0–11.0 × 109/L | Platelets | 66 | 150–400 × 109/L | Sodium | 129 | 133–145 mmol/L | Potassium | 3.7 | 3.3–5.1 mmol/L | Chloride | 94 | 98–111 mmol/L | Bicarbonate | 15 | 21–31 mmol/L | Creatinine | 418 | 50–120 µmol/L | Total bilirubin | 47 | 0–24 µmol/L | INR | 2.2 | 0.9–1.1 | PTT | 39.2 | 27–37 s | Lactate dehydrogenase (LDH) | 377 | 100–235 U/L | Ferritin | 754 | 30–400 µg/L | D-Dimer | >10 | <0.46 mg/L | Fibrinogen | 1.1 | 1.6–4.1 g/L | Creatinine kinase | 929 | 0–195 U/L | Lactate | 8.0 | <2 mmol/L | Random cortisol | 626 | nmol/L | Arterial pH | 7.20 | 7.35–7.45 | Arterial pCO2 | 21 | 35–45 mmHg | Arterial pO2 | 61 | 80–100 mmHg | Arterial bicarbonate | 9 | 24–26 mmgHg |
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