Hyperemesis gravidarum induced refeeding syndrome causes blood cell destruction: a case report and literature review

Table 1 Laboratory test in the pre and after the labor induction

Laboratory test	Jan. 8th	Jan. 10th	Jan. 11th	Jan.12th	Jan.14th
Potassium level (mmol/L)	1.98	3.40	3.50	4.10	3.97
Magnesium level (mmol/L)	1.08	0.82	0.77	0.69	0.67
Phosphorus level (mmol/L)	0.30	0.30	0.24	0.27	0.10
Chlorinum (mmol/L)	103.50	101.00	104.00	103.00	106.00
Sodium (mmol/L)	140.60	133.00	135.00	134.00	139.00
Calcium (mmol/L)	2.17	2.18	2.08	2.08	2.11
Hemoglobin (g/L)	75.00	72.00	60.00	72.00	72.00
Platelet count (×10⁹ /L)	79.00	41.00	35.00	66.00	198.00
WBC (×10⁹ /L)	11.25	7.90	4.80	9.32	5.13
RBC (×10⁹ /L)	2.47	2.26	1.89	2.44	2.26
RET (%)			0.81
IRF			29.30
Hct		19.20	16.10	21.90	20.20
PCT (%)		0.035	0.04	0.093	0.20
HbA1c (%)		5.90
ESR (mm/h)		32.00
Glucose (mmol/L)		6.90
TBIL (µmol/L)	93.70	83.00	57.00	53.00	24.40
IBIL (µmol/L)	25.25	16.00	18.00	22.00	8.30
DBIL (µmol/L)	68.45	28.00	14.00	9.00	16.10
LDH (IU/L)		779.00	790.00
AST (U/L)	106.00	100.00	55.00	41.00	38.00
ALT(U/L)	183.00	147.00	110.00	83.00	61.00
FT3 (pmol/L)		3.39
FT4 (pmol/L)		19.74
TSH (mIU/L)		0.009
Ketone body		++	+	+	-
CRP (mg/L)		58.83
Urine volume (ml)		2720.00	1120.00	1900.00	4470.00
Urinary specific gravity		1.021			1.012
BUN (mmol/L)	7.30	3.60	2.70	1.90	1.80
Cr (µmol/L)	42.00	33.00	27.00	24.00	32.00
TP (g/L)		49.00	42.00	44.00	44.40
Albium (g/L)	28.10	22.00	20.00	22.00	27.90
β-HCG (mIU/ml)	182074.30		91231.00
CK-MB (ng/ml)			1.60
Ferr (ng/ml)			1472.00
VitB12 (pg/ml)			158.70
FOL (ng/ml)			0.70
PT (s)		14.20	12.90	14.50	12.60
APTT (s)		31.00	25.10	32.10	26.10
Fib (g/L)		4.34	3.48	3.59	2.33
D-Di (µg/ml)		1.28	0.44	1.28	0.46
O₂ sat (%)		97–100	96–100	97–100	97–99

WBC White blood cell, RBC Red blood cell, RET Reticulocyte, IRF Immature reticulocyte fraction, Hct Hematocrit, PCT Platelet crit, HbA1c Glycosylated hemoglobin, ESR Erythrocyte sedimentation rate, TBIL Total bilirubin in serum, IBIL Indirect bilirubin, DBIL Direct bilirubin, LDH Lactate dehydrogenase, AST Aspartate aminotransferase, ALT Alanine aminotransferase, FT3 Free triiodothyronine, FT4 Free thyroxine, TSH Thyroid-stimulating hormone, CRP C-reactive protein, BUN Blood urea nitrogen, Cr Creatinine, TP Total protein, β-HCG β-human chorionic gonadotropin, CK-MB Creatinine kinase-MB, Ferr Ferritin, VitB12 Vitamin B12, FOL Folic acid, PT Prothrombin time, APTT Activated partial thromboplastin time, Fib Fibrinogen, D-Di D-dimer; O₂ sat Oxygen saturation

ISSN: 1471-2393