Table 1: Lab investigations of patient.

Day of admission 1 4 5 7 10 16 18

Urea (2.5–7.1 mmol/L)67.861.7 47.138.733.226.421.1
Creatinine (44–80  mol/L)616422360281290202167
HbA1c (5.7–6.5%)7.9
Bil total (1.7–6.8  mol/L)1.53
Bil dir (3.4–15.2  mol/L)8.5
SGOT (0.20–0.65  kat/L)1.51.4
SGPT (0.12–0.70  kat/L)0.87 0.92
ALP (0.56–1.63  kat/L)3.889.02
Protein (67–86 g/L)63
Albumin (40–50 g/L)18212222
GGT (0.15–0.99  kat/L)4.48
K+ (3.5–5.0 mmol/L)5.63.33.93.2145137138
Na+ (136–146 mmol/L)1551511501435.73.83.2
Calcium (2.2–2.6 mmol/L)2.2
Mg (0.62–0.95 mmol/L)0.78
Pi (0.81–1.4 mmol/L)1.45
LDH (114–240 IU/L)506269
CK (25–200 U/L)363103

Urine
Spot K+ (25–120 mEq/L)30.5
Spot Na+ (40–220 mEq/L)116
Bence-Jones Negative
Myoglobin Negative
Heme Negative
Eosinophils Negative
Culture 3 organisms
Stool occult bloodNegative
Endotracheal asp AFBNegative
Endotracheal asp culturePseudomonas
Hb (130–160 g/L)81
TC (3.50– /L)10.2
Neutrophilia (%)81
Plat (165–41 /L)100
MCV (79–93.3 fL)77
MCH (26.7–31.9 pg)27.8
MCHC (323–359 g/L)358
Reticulocyte (%)0.5
INR1.3
aPTT (control 25.1 s)40
D dimer (200 ng/mL)3200
FDPPositive
Blood culturesSterile
dsDNA (<20)28
ANA (<1.0)1.8
cANCANegative
C3 (0.83–1.77 g/L)0.78
C4 (0.16–0.47 g/L)0.20
Cortisol (5–25  g/dL)26.1
Ferritin (28–397 ng/L)1328
Direct CoombsNegative

Cerebrospinal fluid
Cells103
Sugar (mg)115
Protein (<60 mg)39
Lymphocytes (<5)100%
ADA1.0
AFBNegative
Gram Negative
India inkNegative

HbA1c: glycated haemoglobin; bil: bilirubin; dir: direct; SGOT: serum glutamic oxaloacetic transaminase; SGPT: serum glutamic pyruvate transaminase; ALP: alkaline phosphatase; GGT: gamma-glutamyl transferase; K+: potassium; Na+: sodium; Mg: magnesium; Pi-inorganic phosphate; LDH: lactate dehydrogenase; CK: creatine kinase; Hb: haemoglobin; TC: total cells; plat: platelets; MCV: mean corpuscular volume; MCH: mean corpuscular haemoglobin; MCHC: mean corpuscular haemoglobin concentration; INR: international normalized ratio; aPTT: activated partial thromboplastin time; FDP: fibrinogen degradation products; dsDNA: double-stranded DNA; ANA: antinuclear antibody; c-ANCA: antineutrophil cytoplasmic autoantibody; C3: complement C3; C4: complement C4; ADA: adenosine deaminase; AFB: acid-fast bacilli; asp: aspirate.