医学
内科学
降钙素原
胃肠病学
终末期肾病
肾功能
血液透析
终末期肝病模型
接收机工作特性
肌酐
透析
肝病
阶段(地层学)
作者
Meiling Jin,Jing Liu,Xiangdong Chen,Sumei Zhao,Chen Xu
出处
期刊:Clinical Laboratory
[Clinical Laboratory Publications]
日期:2020-04-01
卷期号:66 (4)
被引量:1
标识
DOI:10.7754/clin.lab.2019.190827
摘要
Background Infections account for considerable morbidity and mortality in end stage renal disease (ESRD) patients. Serum procalcitonin (PCT) is used in the early diagnosis of bacterial infection and has higher sensitivity and specificity. However, the level of PCT might be affected. Methods and results We reported an ESRD patient with abnormal liver function manifesting a high level of serum PCT. The evidence of infection was not found, and with the constant adjustment of antibiotic therapy, the level of PCT remained high. However, the PCT level gradually recovered after discontinuing all antibiotic therapy. The correlative analysis suggested a strong positive correlation between PCT and TBIL and DBIL. Conclusions Without the evidence of infection, PCT could be affected by liver function. When an ESRD patient with abnormal liver function manifested a high level of PCT, the influence of liver function especially bilirubin on PCT should be considered.
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