Subj: Re: Case for discussion - final report
Date: 25/02/2004 06:17:58 GMT Standard Time
From: [log in to unmask]
To: [log in to unmask]
Sent from the Internet



Dear all,

thanks to all replies regarding this case....

Our patient has been discharged few days agao..

His opiate drug were identified as follow;
Phenylpropanolamine, Ephedrine, and Pseudoephedrine.

The hepatitis invesitgation was negative, and his las
results were as follow Alt =2854, AST =824, and
Troponin I =0.6

Finally he does not have any cardiac problem, We think
the cause of all this problem the hi dose of opaite
which cause the liver cell damage, but whey the
troponin I we do not know.

Any additional comment wellcome....

Thank to all once again

Mohmed
USA

--- Mohmed Ashmaig <[log in to unmask]> wrote: >
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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