Dear All,
55 years old male visited our emergency department
last night with short of breath, and NO other clinical
conditions.
His ECG, renal function were normal. His liver
function were normal except ALT 3726, AST 1926.
His cardiac marker were as follow, normal CPK and
CK-MB, LDH 3374 U/L, Troponin I from DPC immulite 2.8
(0.0-1.0 the normal range), NPEPB 718 ( normal 5-76
pg/ml).
The haematology side results were normal except his
HGB of 11 gm/dl and high Reticulocyte count, PT and
PTT are normal.
His urine drug of abuse screening were positive for
opiate.
The doctor thinking of drugs liver toxicity....
But I think the effect of drugs of abuse on heart
muscles cells.
Any one can suggest any further investigations to be
done...
What could be wrong with this patient....
Thanks to all in advance
Mohmed
USA
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