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 admissionNormal range

Hemoglobin128137–180 g/L
White blood cell8.64.0–11.0 × 109/L
Platelets66150–400 × 109/L
Sodium129133–145 mmol/L
Potassium3.73.3–5.1 mmol/L
Chloride9498–111 mmol/L
Bicarbonate1521–31 mmol/L
Creatinine41850–120 µmol/L
Total bilirubin470–24 µmol/L
INR2.20.9–1.1
PTT39.227–37 s
Lactate dehydrogenase (LDH)377100–235 U/L
Ferritin75430–400 µg/L
D-Dimer>10<0.46 mg/L
Fibrinogen1.11.6–4.1 g/L
Creatinine kinase9290–195 U/L
Lactate8.0<2 mmol/L
Random cortisol626nmol/L
Arterial pH7.207.35–7.45
Arterial pCO22135–45 mmHg
Arterial pO26180–100 mmHg
Arterial bicarbonate924–26 mmgHg