Case Report

Bath Salts: A Newly Recognized Cause of Acute Kidney Injury

Table 1

Laboratory Results.

VariableResult upon presentation to emergency roomResult upon presentation to intensive care unit

Arterial blood gas
 pH7.197
 pCO2  (mmHg)58.7
 pO2  (mmHg)527.9
 HCO3-  (mmol/L)22.3
Serum chemistry (no hemolysis noted)
 Potassium (mmol/L)8.14.7
 Carbon dioxide (mmol/L)1619
 Creatinine (mg/dL)2.292.28
 Blood urea nitrogen (mg/dL)1818
 Calcium (mg/dL)8.66.7
 Albumin (g/dL)4.43.7
 Magnesium (mEq/L)3.8
 Phosphorous (mg/dL)5.7
 Uric acid (mg/dL)21.2
 Lactate (mg/dL)3.4
 Alanine aminotransferase (U/L)81535
 Aspartate aminotransferase (U/L) 1401169
 Creatine kinase (U/L) 2771201410
 Myoglobin (ng/mL)46780
 Troponin I (ng/mL) 0.5413.92
Hematologic studies
 White blood cells (number ×1000/uL)14.0
 Hemoglobin (g/dL)15.8
 Platelets (number ×1000/uL)150
 Prothrombin time (sec)15.227.7
 International normalized Ratio 1.212.5
 Partial thromboplastin time (sec) 30.653
 Fibrinogen (mg/dL)131
 High sensitivity D-dimer (μg/mL)>20.00
 Peripheral smear for schistocytesNegative
Urinalysis
 ColorRed
 BloodLarge
 Casts (#/LPF)>20 hyaline
 Red blood cells (#/HPF)4