An Unusual Presentation of Tumor Lysis Syndrome in a Patient with Advanced Gastric Adenocarcinoma: Case Report and Literature Review

Table 2

Laboratory values before and after chemotherapy.

Parameters	Normal ranges	Patient’s baseline	Abnormal data for which patient was referred to ER*	At ER*
Leukocytes (/mm³)	4,500–11,000	12,000	6,500	7,400
Hemoglobin (g/dL)	14–18	11	8.6	9.6
Hematocrit (%)	42–52	34	26.9	30
Platelets (/mm³)	150,000–400,000	327,000	39,000	37,000
Glucose (mg/dL)	74–106	86	95	104
Sodium (mEq/L)	135–147	138	130	127
Potassium (mEq/L)	3.5–5	4	8.4	8.7
Phosphorus (mg/dL)	3.0–4.5	—	—	13.9
Calcium (mg/dL)	8.4–10.2	8.4	5.4	5.4
Uric acid (mg/dL)	3.0–8.2	4.3	17.8	17.6
BUN (mg/dL)	9–20	18	175	183
Creatinine (mg/dL)	0.8–1.5	1.00	15.4	14.98
Total bilirubin (mg/dL)	0.2–1.3	0.5	0.8	0.7
Alkaline phosphatase (U/L)	38–126	381	235	254
AST/ALT (U/L)	15–46/21–72	48/30	44/53	46/58
eGFR (mL/min)	>60	>60	3	3
LDH (U/L)	0–250	9,027	—	—
pH	7.35–7.45	—	—	7.17
PaCO2 (mmHg)	33–44	—	—	28
Bicarbonate (mEq/L)	22–28	—	—	10

BUN: blood urea nitrogen; AST: aspartate aminotransferase; ALT: alanine aminotransferase; LDH: lactate dehydrogenase. *7 days after chemotherapy.