| Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access |
| Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc |
| Journal website http://www.journalmc.org |
Case Report
Volume 2, Number 2, April 2011, pages 87-90
Fulminant Form of Mitochondrial Myopathy, Encephalopathy, Lactic Acidosis, and Stroke-Like Episodes: A Diagnostic Challenge
Tables
| Variable | Value |
|---|---|
| *Obtained in the emergency room of the hospital while breathing 100% oxygen under artificial ventilation. | |
| pH | 7.49 |
| Partial pressure of oxygen (mm Hg) | 151 |
| Partial pressure of carbon dioxide (mm Hg) | 21 |
| Bicarbonate (mmol/L) | 15.8 |
| Base excess (mmol/L) | -6.9 |
| Oxygen saturation (%) | 99.3 |
| Variable | Finding |
|---|---|
| Appearance of fluid | Clear, colorless |
| Cells (per cubic millimeter) | 9 |
| Microorganisms | Absent |
| Glucose (mg/dl) | 80 |
| Total protein (mg/dl) | 30 |
| *Normal range: 0.6 - 1.7 mmol/L. | ||||||||||||
| Day | 4 | 6 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 |
| Lactate | 4.3 | 3.8 | 1.0 | 3.1 | 3.3 | 3.0 | 1.8 | 4.6 | 3.7 | 2.7 | 3.7 | 6.7 |