Hyperbilirubinemia to predominance of the direct one, hiperamilasemia, transaminasemia, phostatase alkaline raised, hipokalemia, time of long prothrombin, normochromic anemia, thrombocytopenia, leukocytosis, neutrophilia, bandemia
, high CPK, azotemia, proteinuria, hematuria, blood culture and urine culture of revenue negatives, arterial gas with hypoxemia and desaturation, kirby's index under, short circuits intrapulmonary and the difference alveolar-arterial of oxygen raised.
These criteria included a heart rate greater than 90 beats per minute, a breathing rate greater than 20 breaths per minute, a body temperature greater than 38 degrees or less than 36 degrees Celsius, and a white blood cell count greater than 1200/mm or bandemia
greater than 10 percent.
Laboratories were remarkable for leukocytosis (14.3Thou/uL), neutrophilia (86%), bandemia
(7%), high anion gap metabolic acidosis (31 mEq/L), hyperglycemia (484 mg/dL) with large blood ketones, and elevated creatinine phosphokinase (2227U/L) and creatinine (3.45mg/dL) levels.
Multivariate analysis revealed that the development of bacteremia was associated with a higher mortality rate (adjusted odds ratio [OR] 9.7; 95% CI: 1.9-50.6, p=0.007), while shock and bandemia
were associated with the development of bacteremia (adjusted OR 5.3; 95% CI: 2.3-12.7, p<0.0001 and adjusted OR 4.0; 95% CI: 1.6-9.9, p=0.0003, respectively).
Because of hypotension, bandemia
, and lactic acidosis, he was admitted to the Intensive Care Unit for further monitoring.
His laboratory data demonstrated no evidence of infection with a white blood cell count of 5.9 k/[micro]l without bandemia
. Remaining complete blood count values included hemoglobin of 17.5 gm/dl and a platelet count of 441 k/[micro]l.
The patient was noted to have a leukocytosis with bandemia
, fever, and tachycardia suspicious for sepsis.
Significant laboratory studies included an elevated leukocyte count of 18,400/ [mm.sup.3] without a bandemia
. Blood cultures were drawn and she was started on broad spectrum antibiotics.
* The positive predictive value of CRP as a septic screen parameter (5) was 68.93% and that of Bandemia
positive cases was 70.08%, but when both these parameters was considered together the positive predictive value increased to 71.46 %.
Los paraclinicos de ingreso mostraron Leucocitosis (17,820/[mm.sup.3]) a expensas de neutrofilia (79%), bandemia
importante (11%), sin anemia (Hb 13.8 g/dL), plaquetas normales (281.000/[mm.sup.3]), los reactantes de fase aguda estaban elevados (proteina C reactiva de 94 mg/L).
She had no leukocytosis or bandemia
, and immunosuppression was continued as mentioned above.