Severe Sepsis with Multiorgan Failure due to Melioidosis: A Lesson to Learn

Table 1

Summary of investigation findings on day 01 and during ICU stay.

Investigation	Day 1	During ICU stay
1. WBC	14,000 cells/mm^3 (88% of neutrophils)	23,000 cell/mm^3 (neutrophil leukocytosis)
2. Haemoglobin	12.4 g/dl	11.8 g/dl
3. Platelet	204,000/mm^3	112 × 103/mm^3
4. CRP	173 mg/L	420 mg/L
5. ESR	18 mm/hour	20 mm/hour
6. ALT	21 U/L	251 U/L
7. AST	38 U/L	513 U/L
8. ALP)	81 U/L	171 U/L
9. Creatinine	92 micromoles/L	356 micromoles/l risen to 750 micromoles/L
10. Blood urea	18 mg/dL	81 mg/dl risen to 103 mg/dL
11. Serum sodium	138 mmol/L	140 mmol/L
12. Serum potassium	4.2 mmol/L	6.5 mmol/L
13. Creatinine phosphokinase		94 U/L
14. Total bilirubin		1.1 mg/dL
15. Prothrombin time	12 sec	38 sec
16. Activated partial thromboplastin time	38 sec	48 sec
17. International Normalized Ratio (INR)	1.3	2.7
18. Serum lactate		8 mmol/L