Case Report

Tocilizumab Use in a Chronic Hemodialysis Patient for the Management of COVID-19-Associated Pneumonia and Acute Respiratory Distress Syndrome

Table 1

Investigations.

Day 1Day 2Day 3Day 4Day 5Day 6Day 7Day 8Day 9

BUN (mmol/L)7.110.18.214.011.218.724.912.216.8
Creatinine (μmol/L)6248206047896749261121710931
Sodium (mmol/L)135132137133136131129134133
Potassium (mmol/L)3.94.74.95.14.24.14.34.34.6
Chloride (mmol/L)929193929389879290
Calcium (mmol/L)2.211.952.052.062.112.272.262.272.32
Phosphorous (mmol/L)0.772.12.161.731.982.071.792.12
Total bilirubin (μmol/L)3.64.35.03.63.74.43.64.03.3
Total protein/albumin (g/L)69/3868/3666/3464/3264/3467/3566/3367/3565/35
AST (U/L)8711112569115133614634
ALT (U/L)60811027287120816147
ALP (IU/L)145143145141162168157156150
CRP (mg L)16319324213697.577.957.94530.2
IL 6 (ng/L)7946110241045373602938
Pro calcitonin (mcg/L)18.930.128.28
Ferritin (mcg/L)6508>8000665655075152
Hemoglobin (g/L)909091818180828585
Hematocrit0.270.270.280.250.250.240.240.260.26
WBC (×109L)2.683.223.424.04.04.635.565.626.46
Neutrophil/lymphocyte (%)84/12.968/2762/2670/16.866/1665/18.666/1863/2060/20
Platelets (×109/L)117118110116126124137161174
Day 1Day 2Day 3Day 4Day 5Day 6Day 7
pH7.47.497.407.427.437.437.44
PaCO2 (kPA)4.74.85.434.435.484.724.29
PaO2 (kPA)12.936.959.647.4012.7510.9511.11
HCO3 (mmol/L)25272421272322