Case Report

Anticoagulant Related Nephropathy Induced by Dabigatran

Table 2

Lab investigations.

TestResultRef. RangeAbnormality

Serum Sodium137 mmol/L133 – 145 mmol/L
Serum Potassium4.5 mmol/L3.3 – 5.1 mmol/L
Serum Chloride104 mmol/L98 – 111 mmol/L
Serum Bicarbonate19 mmol/L21 – 31 mmol/L
Serum Creatinine177 umol/L35 – 100 umol/LAbnormal
Hemoglobin118 g/L123 – 157 g/L
White Blood Count16.8 X 109/L4 – 10 X 109/LAbnormal
Platelet217 X 109/L130 – 400 X 109/L
INR1.6≤ 1.1Abnormal
aPTT 50 seconds 28 – 38 secondsAbnormal
Antinuclear Antibodies, Anti DS- DNA antibodies, Negative
C-ANCA, P-ANCANegative
Anti-Glomerular Basement Membrane AntibodyNegative
C3, C4Normal
HIV, Hepatitis serologyNegative
Serum IgA5.85 g/L 0.60 – 4.20 g/LAbnormal
Anti-Streptolysin O titer449 IU/mL0-200 IU/mLAbnormal
Free Kappa223 mg/L3.3 – 19.4 mg/LAbnormal
Free Lambda70.50 mg/L5.71 – 26.3 mg/LAbnormal
Kappa: Lambda Ratio3.160.26 – 1.65Abnormal