Case Report
Tocilizumab Use in a Chronic Hemodialysis Patient for the Management of COVID-19-Associated Pneumonia and Acute Respiratory Distress Syndrome
| | Day 1 | Day 2 | Day 3 | Day 4 | Day 5 | Day 6 | Day 7 | Day 8 | Day 9 |
| BUN (mmol/L) | 7.1 | 10.1 | 8.2 | 14.0 | 11.2 | 18.7 | 24.9 | 12.2 | 16.8 | Creatinine (μmol/L) | 624 | 820 | 604 | 789 | 674 | 926 | 1121 | 710 | 931 | Sodium (mmol/L) | 135 | 132 | 137 | 133 | 136 | 131 | 129 | 134 | 133 | Potassium (mmol/L) | 3.9 | 4.7 | 4.9 | 5.1 | 4.2 | 4.1 | 4.3 | 4.3 | 4.6 | Chloride (mmol/L) | 92 | 91 | 93 | 92 | 93 | 89 | 87 | 92 | 90 | Calcium (mmol/L) | 2.21 | 1.95 | 2.05 | 2.06 | 2.11 | 2.27 | 2.26 | 2.27 | 2.32 | Phosphorous (mmol/L) | | 0.77 | 2.1 | 2.16 | 1.73 | 1.98 | 2.07 | 1.79 | 2.12 | Total bilirubin (μmol/L) | 3.6 | 4.3 | 5.0 | 3.6 | 3.7 | 4.4 | 3.6 | 4.0 | 3.3 | Total protein/albumin (g/L) | 69/38 | 68/36 | 66/34 | 64/32 | 64/34 | 67/35 | 66/33 | 67/35 | 65/35 | AST (U/L) | 87 | 111 | 125 | 69 | 115 | 133 | 61 | 46 | 34 | ALT (U/L) | 60 | 81 | 102 | 72 | 87 | 120 | 81 | 61 | 47 | ALP (IU/L) | 145 | 143 | 145 | 141 | 162 | 168 | 157 | 156 | 150 | CRP (mg L) | 163 | 193 | 242 | 136 | 97.5 | 77.9 | 57.9 | 45 | 30.2 | IL 6 (ng/L) | | | 7946 | 11024 | 10453 | 7360 | | 2938 | | Pro calcitonin (mcg/L) | | 18.9 | 30.1 | 28.28 | | | | | | Ferritin (mcg/L) | | 6508 | >8000 | 6656 | 5507 | 5152 | | | | Hemoglobin (g/L) | 90 | 90 | 91 | 81 | 81 | 80 | 82 | 85 | 85 | Hematocrit | 0.27 | 0.27 | 0.28 | 0.25 | 0.25 | 0.24 | 0.24 | 0.26 | 0.26 | WBC (×109L) | 2.68 | 3.22 | 3.42 | 4.0 | 4.0 | 4.63 | 5.56 | 5.62 | 6.46 | Neutrophil/lymphocyte (%) | 84/12.9 | 68/27 | 62/26 | 70/16.8 | 66/16 | 65/18.6 | 66/18 | 63/20 | 60/20 | Platelets (×109/L) | 117 | 118 | 110 | 116 | 126 | 124 | 137 | 161 | 174 | | Day 1 | Day 2 | Day 3 | Day 4 | Day 5 | Day 6 | Day 7 | pH | 7.4 | 7.49 | 7.40 | 7.42 | 7.43 | 7.43 | 7.44 | PaCO2 (kPA) | 4.7 | 4.8 | 5.43 | 4.43 | 5.48 | 4.72 | 4.29 | PaO2 (kPA) | 12.93 | 6.95 | 9.64 | 7.40 | 12.75 | 10.95 | 11.11 | HCO3 (mmol/L) | 25 | 27 | 24 | 21 | 27 | 23 | 22 |
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