Colonic Diffuse Large B-Cell Lymphoma in a Liver Transplant Patient with Historically Very Low Tacrolimus Levels

Table 1

Key laboratory data during hospitalizations^*.

	10/12/11	2/17/12𝛼	2/27/12	3/1/12^∧	3/7/12^†	3/9/12	3/16/12	Normal range
BUN (mg/dL)	33	63	88	92	129	123	99	8–21
Cr (mg/dL)	2.1	4.9	4.02	3.4	3.8	4.6	3.6	0.75–1.20
Alb (g/dL)	3.7	2.6	3.1	3.8	2.8	2.9	2.2	3.5–5.0
TB (mg/dL)	0.2	0.2	0.3	0.3	0.7	0.5	0.3	0.2–1.3
AP (U/L)	44	41	38	17	21	23	53	30–125
AST (U/L)	15	12	16	10	8	8	10	3–44
ALT (U/L)	9	6	7	6	7	7	9	0–40
INR (no units)	—	1.2	1.2	—	1.3	—	—	0.83–1.2
WBC (10^3/μL)	4.5	3.5	4.1	2.3	0.55	6.0	5.5	4.0–10.0
HGB (g/dL)	9.7	7.6	8.1	8.3	10.4	9.4	7.8	13.5–17.5
PLT (10^3/μL)	210	246	248	225	109	82	204	150–399
Tac (ng/mL)	6.6	3.1	—	3.7	4.3	6.6	3.0	No range

BUN: blood urea nitrogen; Cr: creatinine; alb: albumin; TB: total bilirubin; AP: Alkaline phosphatase; AST: aspartate aminotransferase; alanine aminotransferase; INR: international normalized ratio; WBC: white blood cells; HGB: hemoglobin; PLT: platelets; Tac: tacrolimus; —: no lab drawn that day. 𝛼Day of admission; ^∧2 days after chemotherapy; ^†first day of hemodialysis.