Introduction
Case report
Day 1 | Day 2 | Day 3 | Normal value | |
---|---|---|---|---|
White blood cells (× 109/l) | 18.5 | 15.5 | 6.9 | 4.3–10.8 |
Red blood cells (× 1012/l) | 4.9 | 4.8 | 3.3 | 4.15–4.90 |
Platelets (× 109/l) | 150 | 115 | 51 | 130–400 |
Creatinine (μmol/l) | 195 | 367 | 524 | < 133 |
AST (μkat/l) | 0.6 | 3.7 | 14.5 | 0–0.58 |
ALT (μkat/l) | 0.4 | 0.6 | 2.4 | 0–0.58 |
LDH (μkat/l) | 20.9 | 40.4 | 92.3 | 1.7–3.2 |
International Normalized Ratio | 1.5 | 1.6 | 1.9 | 1.2 |
Lipase (μkat/l) | 7.1 | 11.9 | 5.6 | 0–2.66 |
Myoglobin (μg/l) | 304 | 755 | 3696 | 0–90 |
CK (μkat/l) | 3.5 | 8.6 | 19.0 | 0.17–2.08 |
Troponin I (μg/l) | < 0.01 | 0.10 | 0.37 | < 0.06 |
pH | 7.38 | 7.24 | 7,26 | 7.38–7.44 |
Lactate (mmol/l) | 7.9 | 8.0 | 9.7 | 0.6–1.7 |
D-dimer (μg/l) | 3290 | < 250 | ||
Colchicine | ||||
Serum (μg/l) | 9 | 14 | ||
Urine (μg/l) | 6 |
Discussion
Conclusion
Key messages
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In patients with gastroenterocolitis after a wild plants meal, especially when wild garlic is mentioned, we should always consider poisoning with autumn crocus
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Prognosis of colchicine poisoning is worse in patients with pre-existing liver and renal diseases