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Figures
- Figure 1
(A) Initial noncontrast computed tomography (CT) shows no gross abnormalities. (B) The mismatch perfusion CT image shows abnormal perfusion in the left middle cerebral artery, inferior division distribution (CBF = cerebral blood flow; Tmax = time to maximum).
- Figure 2
Transthoracic echocardiography showed a new mitral valve vegetation (arrow) on the apical four-chamber view.
Tables
Test Hospital day 1 Hospital day 2 Hospital day 3 Reference range Hemoglobin (g/dL) 9.4 7.9 7.5 13.5–17.5 Hematocrit (%) 29.0% 23.7% 21% 38.8%–50% Platelet count (× 109/L) 137 110 77 150–450 Prothrombin time (seconds) 13.6 17.5 24.1 9.5–11.6 International normalized ratio 1.19 1.53 2.14 0.9–1.2 Activated partial thromboplastin time (seconds) 33.7 38.1 38 23–29 Fibrinogen (g/L) 1.49 1.19 0.77 2.33–4.96 D-dimer (ng/mL) 36,881 38,136 33,603 220–740 Alkaline phosphatase (IU/L) 253 — — 40–150 Troponin I (ng/mL) 1.75 — — 0–0.4 C-reactive protein (mg/dL) — 2.7 — < 0.5 - TABLE 2
International Society of Thrombosis and Hemostasis scoring system for disseminated intravascular coagulopathy
Points Platelet count > 100 × 109/L 0 50–100 × 109/L 1 < 50 × 109/L 2 D-dimer level No change 0 Moderate increase 1 Strong increase 2 Prothrombin time ≤ 3 seconds 0 > 3 to 6 seconds 1 > 6 seconds 2 Fibrinogen level > 1 g/L 0 ≤ 1 g/L 1 Sum of points < 5: not suggestive of overt DIC (repeat in 1 to 2 days) ≥ 5: suggestive of overt DIC (repeat daily) DIC = disseminated intravascular coagulopathy
Based on information in reference 15.
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