Case Report
An Acute Ibuprofen Overdose Masking a Severe Staphylococcus aureus Meningitis: A Case Report
| | Urine Drug Screen | | | Opiates—Positive | | | Cocaine—Negative | | | Amphetamine—Negative | | | Cannabinoids—Negative | | | Barbituates—Negative | | | Benzodiazepines—Positive | | | CBC | | | WBC Count 7.6 K/uL | | | RBC Count 3.96 M/uL | | | Hemoglobin 12.2 g/dL | | | Hematocrit 36.0% | | | MCV 90.8 fl | | | MCH 30.7 pg | | | MCHC 33.8 g/dL | | | RDW 12.7% | | | Platlet Count 158 K/uL | | | Differential | | | Neutorphil 60% | | | Lymphocyte 4% | | | Monocyte 9% | | | Eosinophil 0% | | | Basophil 0% | | | Neutorphil Absolute 4.57 K/uL | | | Lymphocyte Absolute 0.30 K/uL | | | Monocyte Absolute 0.68 K/uL | | | Eosinophil Absolute 0.00 K/uL | | | Basophil Absolute 0.00 K/uL | | | Band 23% | | | Metamyelocyte 4% | | | Band Absolute 1.75 K/uL | | | Metamyelocyte Absolute 0.30 | | | RBC morphology normal | | | Urinalysis | | | Type—Clean Catch | | | Color—Amber | | | Clarity—Cloudy | | | Specific Gravity—1.025 | | | pH 5.5 | | | Protein 100 mg/dL | | | Glucose 100 mg/dL | | | Ketones—Trace | | | Bilirubin—Negative | | | Blood—Moderate | | | Urobilinogen—1.0 U/dL | | | Nitrite—Negative | | | Leukocyte Esterase—Negative | | | Urinalysis Micro | | | RBC 0 to 2/HPF | | | WBC 5 to 10/HPF | | | Bacturia Moderate | | | Arterial Blood Gas | | | pH 7.52 | | | PCO222.0 mmHg | | | PO2 194.6 | | | Base Deficit 3.1 mmol/L | | | HCO3 17.5 mmol/L | | | TCO2 18.2 mmol/L | | | Oxygen Saturation 99.3 | | | Gas—Room Air | | | Glucose 210 | | | ALT/SGPT 39 IU/L | | | Alkaline Phosphatase 90 IU/L | | | Bilirubin ? | | | AST/SGOT 43 IU/L | | | Lactic Acid 3.6 mmol/L | | | Troponin I 0.04 ng/mL | | | Electrolytes | | | Sodium 122 mmol/L | | | Potassium 3.2 mmol/L | | | Chloride 84 mmol/L | | | Carbon Dioxide 23 mmol/L | | | Anion Gap 15 | | | Magnesium 2.5 mg/dL | | | Phosphorus 1.7 mg/dL | |
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