Case Report
Bath Salts: A Newly Recognized Cause of Acute Kidney Injury
Table 1
Laboratory Results.
| Variable | Result upon presentation to emergency room | Result upon presentation to intensive care unit |
| Arterial blood gas | | | pH | 7.197 | | pCO2 (mmHg) | 58.7 | | pO2 (mmHg) | 527.9 | | HCO3- (mmol/L) | 22.3 | | Serum chemistry (no hemolysis noted) | | | Potassium (mmol/L) | 8.1 | 4.7 | Carbon dioxide (mmol/L) | 16 | 19 | Creatinine (mg/dL) | 2.29 | 2.28 | Blood urea nitrogen (mg/dL) | 18 | 18 | Calcium (mg/dL) | 8.6 | 6.7 | Albumin (g/dL) | 4.4 | 3.7 | 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) | 81 | 535 | Aspartate aminotransferase (U/L) | 140 | 1169 | Creatine kinase (U/L) | 2771 | 201410 | Myoglobin (ng/mL) | 46780 | | Troponin I (ng/mL) | 0.541 | 3.92 | Hematologic studies | | | White blood cells (number ×1000/uL) | | 14.0 | Hemoglobin (g/dL) | | 15.8 | Platelets (number ×1000/uL) | | 150 | Prothrombin time (sec) | 15.2 | 27.7 | International normalized Ratio | 1.21 | 2.5 | Partial thromboplastin time (sec) | 30.6 | 53 | Fibrinogen (mg/dL) | | 131 | High sensitivity D-dimer (μg/mL) | | >20.00 | Peripheral smear for schistocytes | | Negative | Urinalysis | | | Color | Red | | Blood | Large | | Casts (#/LPF) | >20 hyaline | | Red blood cells (#/HPF) | 4 | |
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