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Table 1 The summary of laboratory investigations

From: Multisystem failure and death due to extensive hemorrhaging and brain herniation subsequent to a bite by an unidentified snake

Test

Abnormal result/s

Reference range

Day 1

Day 2

 

Whole blood clotting time (WBCT)

>20 min → >20 min

<20 min

<20 min

Total white cell count

21.32 × 109/l (neutrophils 79.8 %)

24.16 × 109/l (neutrophils 88.2 %)

4.0–10.0 × 109/l (neutrophils 50.0–70.0 %)

Platelets

46 × 109/l

138 × 109/l

150–450 × 109/l

Creatine kinase CK2

6792 U/l

 

<171 U/l

Blood urea

18.6 mmol/l

18.2 mmol/l

2.10–7.10 mmol/l

Serum creatinine

2.4 mg/dl → 3.56 mg/dl

3.4 mg/dl

0.67–1.17 mg/dl

Serum sodium

124 mmol/l → 129 mmol/l

132 mmol/l → 129 mmol/l

132–148 mmol/l

Serum potassium

5.4 mmol/l → 4.9 mmol/l

3.9 mmol/l → 5.2 mmol/l

3.5–5.3 mmol/l

Serum alanine transaminase (ALT)

91 U/l

 

7–45 U/l

Serum aspartate transaminase (AST)

197 U/l

 

13–31 U/l

Activated partial thromboplastin time (APTT)

50.5 s

77.2 s

Control 32.0 (30–45) s

International normalized ratio (INR)

3.25

1.70

<1.3

Arterial blood PH

7.2 → 7.32

 

7.35–7.45

Random blood sugar

356 mg/dl

160 mg/dl

<200 mg/dl

  1. Hemoglobin, hematocrit, serum calcium (albumin corrected), serum magnesium, serum phosphorus values were within normal range, and the chest X ray (taken on admission) was also normal