A Tumultuous Course of Exogenous Testosterone by a Bodybuilder Causing a Catastrophic Hypercoagulable State in the Surgical Intensive Care Unit

Table 1

Initial hematologic studies which indicate an unremarkable coagulopathic evaluation.

Initial hematologic labs	Reference range and units	Result
Hemoglobin	13.1–17.3 g/dl	15.0
Hematocrit	39–49%	44.4
Platelets	150–450 × 10^9/L	330
Heparin anti-xa unfractioned	0.30–0.70 IU/mL	0.36
Protime	9.5–12.6 sec	12.3
Inr	0.9–1.2	1.1
Anticardiolipin IgA	0–19.9 APL	0.5
Anticardiolipin IgM Ab	0–19.9 MPL	0.5
Anticardiolipin IgG	0–19.9 GPL	<1.6
Beta-2 gp1 IgA	0–19.9 u/mL	<0.6
Beta-2 gp1 IgM	0–19.9 u/mL	0.5
Beta-2 gp1 IgG	0–19.9 u/mL	<1.4
Homocysteine	5.90–16.00 mcmol/L	14.64
Collagen/epinipherine	0–179 sec	112
Collagen/adp	0–114 sec	91
Heparin pf4 antibody (hit)	<0.4 OD	0.168
JAK2 exon 12 mutation detection	—	Negative. No pathogenic genetic alterations were detected in JAK2, exons 12–15.
Pnh by flow cytometry	—	No evidence of paroxysmal nocturnal hemoglobinuria detected by flow cytometry.
Factor V leiden R506Q gene mutation		Negative. The patient does not have the Factor V leiden mutation.
Prothrombin G20210A gene mutation		Negative. The patient does not have the prothrombin G20210A mutation.