PMC6965312_01
Chest X Ray at PICU admission (48 h after the ingestion).
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F1
Initial investigations showed diffuse, bilateral pulmonary opacities on chest X-ray (Figure 1), ratio of partial pressure of oxygen in arterial blood/fractional oxygen concentration (PaO2/FiO2) of 65, and oxygenation index (OI) of 41.
Trend of Coagulation markers (Day 1-5).
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F2
Both hemodynamic status and sepsis markers improved over next 24 h (Figure 2).
Trend of liver function markers (Day 1-5).
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F3
Transaminase (ALT) and Aspartate Transaminase (AST) of >7,000 and 4,320 IU/L, respectively, along with periportal hypoechogenicity on ultrasound (Figure 3). These resolved gradually over the first 6 days of admission.
Trend of infection markers (Day 1-5).
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F4
This was treated with heparin infusion, glyceryl trinitrate patches, and eventually debridement (Figure 4).