PMC8612778_01
Trends of key lab findings throughout hospital stay. Doxycycline was started on hospital day 3 for suspected ehrlichiosis. The patient had been started on hemodialysis due to acute renal failure on hospital day 4 and was taken off on day 10 due to marked clinical improvement. The progression of creatinine (mg/dL), WBC count (thou/mcL), and total bilirubin (mg/dL) over his hospital stay is seen in (a). The progression of AST (U/L) and ALT (U/L) over his hospital stay is seen in (b).
CRIT2021-8285326.003.jpg
PMC8612778_01_CRIT2021-8285326.003.jpg
fig3
His fever persisted, and renal function, as well as liver functions, declined rapidly (Figure 3), prompting an infectious disease consult. After initiation of doxycycline, clinical improvement was noted both in symptoms and laboratory indices (Figure 3).