Atorvastatin-Diltiazem Combination Induced Rhabdomyolysis Leading to Diagnosis of Hypothyroidism

Table 1

The summery of the laboratory workup results of this patient.

Investigation	Reference range	Value/the day at hospital on which the test was done is within brackets
Creatine kinase (CK) in U/l	38–174	3169.5 (1)→2382.4 (3)→1233.0 (5)
White cell count (/l)	4.0–10.0	10.7 (1)→11.84 (4)
Neutrophils %	50–70	76.7% (1)→88.6 (4)
Lymphocytes%	20–40	17.3% (1)→8.4 (4)
Hemoglobin (g/dL)	11–16	14.1 (1)→11.2 (4)
Hematocrit (%)	37–54	42% (1)→32 (4)
Platelets count (/l)	150–450	145
Reticulocyte count	0.5–1.5%	2.6% (4)
Serum alanine transaminase (ALT) in U/l	7.0–28	77 (1)
Serum aspartate transaminase (AST) in U/l	13.0–31.0	229 (1)→210 (3)
Serum alkaline phosphatase (ALP) in U/l		207.2→210
Serum C-reactive protein (CRP) in mg/l		5.2 (1)→144.2 (4)→28 (9)
Blood urea (mmol/l)	2.1–7.1	6.0 (1)→6.8 (2)→8.4 (3)→7.0 (6)
Serum creatinine (mg/dL)	0.9–1.30	1.25 (1)→1.0 (2)→1.25 (3)→1.28 (4)→1.20 (6)→0.89 (8)
Serum sodium (mmol/l)	133–148	110 (1)→126 (1)→130 (2)→116 (3)→116 (4)→130 (5)→127 (6)→130 (7)→137 (8)
Serum potassium (mmol/l)	3.5–5.3	2.6 (1)→4.0 (1)→5.0 (2)→2.6 (3)→2.3 (4)→2.1 (5)→3.9 (6)→3.1 (7)→3.5 (8)
Serum calcium (mmol/l)	2.10–2.55	2.07 (1)→2.04 (2)→2.35 (5)
Urine full report		Pus cells 5 per HPF, Red Cells 8–10 per HPF and Albumin + (2)
ESR (mm/hour)	<20	7 (2)
Fasting blood sugar (mg/dL)	70–126	108 (2)
Blood culture		No growth (4)
Urine culture		No growth (4)