case_images: PMC11018123_01
case_images: The changes in coagulation test results in the patient during before and after the occurrence of the allergic reaction. (A) Changes in international normalized ratio (INR); (B) Changes in activated partial thromboplastin time (APTT); (C) Changes in thrombin time (TT); (D) Changes in fibrinogen levels. Negative values represent the time before the allergic reaction, while positive values represent the time after the allergic reaction.
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case_images: TT 87.60 s, APTT 55.90 s (Key values of coagulation tests can be found in Figure 1). The patient had abnormal coagulation function and received plasma to correct coagulation, the posterior pituitary (36U/50 mL) and carbazochrome sodium sulfonate (80 mg/250 mL) for hemostasis, omeprazole (80 mg/250 mL) to suppress acid, antiallergic and anti-shock treatment, and correction of internal environment disturbances.
case_images: The changes in white blood cell count (A) and percentage of neutrophils (B) in the patient during the before and after the occurrence of the allergic reaction. Negative values represent the time before the allergic reaction, while positive values represent the time after the allergic reaction.
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case_images: TNT-HSST was 2210.00 ng/L (Changes in white blood cells and neutrophil percentages can be found in Figure 2). The alanine aminotransferase (ALT), aspartate aminotransferase (AST), and lactate dehydrogenase (LDH) levels were 317 U/L (normal 7~40 U/L), 562 U/L (normal 13~35 U/L), and 1788 U/L (normal 109~245 U/L), respectively.
case_images: The changes in pH level (A) and K+ concentration (B) measured by blood gas analysis in the ICU after the occurrence of an allergic reaction of the patient. The changes in electrolyte detection of K+ (C) and Na+ (D) in the patient during the before and after the occurrence of the allergic reaction; The change of alanine aminotransferase (ALT) and aspartate transaminase aminotransferase (AST) in liver function (E) and creatinine (SCR) in renal function (F) was measured in the patient during the before and after the occurrence of the allergic reaction. Negative values represent the time before the allergic reaction, while positive values represent the time after the allergic reaction.
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case_images: Figure 3). Finally, the patient was declared dead due to rescue invalid as a result of anaphylactic shock, disseminated intravascular coagulation, and multiple organ dysfunction.