GREEN SERUM: CAUSES AND CLINICAL OUTCOMES: A CASE REPORT
Journal Title: IJSR-International Journal Of Scientific Research - Year 2018, Vol 7, Issue 4
Abstract
AIM: Analyse the significance of green serum in a clinical laboratory METHADOLOGY: Serum sample of a 20year old male patient presenting to ER with complaints of altered sensorium since last 3 days and a history of fever and yellow discolouration of the eyes since last 5 days was received in the lab for evaluation. As per protocol sample was centrifuged and serum was obtained for evaluation in the Beckman Coulter AU480 autoanalyser. When observed the serum was found to be green in colour RESULT: The biochemistry report showed excessively elevated serum bilirubin ( 34 mg/dl) with predominance of unconjugated bilirubin. SGOT was 248U/L and SGPT levels were found to be normal. Serum K+ of was 2.0 mmol/dl and elevated TLC were the other significant finding. CONCLUSION: Occurrence of green serum is a very rare phenomenon. Even though it is theoretically possible to find green serum in pregnancy or in long standing rheumatoid arthritis but actually it is very hard to find . In our institution several samples obtained both from the obstetrics & gynaecology department and orthopaedic for RA cases were found to be of normal straw colour. In the above mentioned patient in view of all the other causes being ruled out an assumption of partial biliverdin reductase deficiency could be made as it has been found to be associated in the setting of fulminant hepatic failure mainly caused by alcoholism.
Authors and Affiliations
Dr. Arun Sinha, Dr. Vibha C
Keywords
Related Articles
- EP ID EP507977
- DOI -
- Views 64
- Downloads 0
ASSESSMENT OF QUALITY OF LIFE OF PEOPLE LIVING WITH HIV/AIDS ATTENDING ANTIRETROVIRAL THERAPY CENTRE IN AN URBAN AREA.
Aims and objectives: 1) To study socio-demographic prole of people living with HIV/ AIDS. 2) To assess their quality of life. Material & methods: Cross-sectional study was conducted on 319 subjects and Quality of life w...
RADIOGRAPHIC RISK PREDICTOR SIGNS ASSOCIATED WITH IMPACTED THIRD MOLARS AND INFERIOR ALVEOLAR NERVE DAMAGE – A PANORAMIC RADIOGRAPHIC STUDY
Introduction : Mandibular third molars are the most frequently impacted teeth and are associated with various pathoses ranging from infection, inammatory to cystic lesions necessitating their removal. Neurosensory distu...
EFFECT OF DENTINE DESENSITIZING AGENTS ON THE BOND STRENGTH OF COMPOSITE RESIN TO DENTINE.
Hypersensitivity is a common clinical multi-etiological problem. Many desensitizing treatments are there to overcome hypersensitivity. The aim of the study is to evaluate the effect of desensitizing dentifrice containing...
ROLE OF CT SCAN IN STAGING OF CARCINOMA OF ESOPHAGUS – A STUDY OF 100 CASES
Introduction: CT has become a useful diagnostic modality in the evaluation of the stage of oesophageal carcinoma and an integral part of surgical planning. Present study describes various finding of oesophageal carcinoma...
EVALUATION OF NASOPALATINE CANAL USING CONE BEAM COMPUTED TOMOGRAPHY – A RETROSPECTIVE STUDY
Background: Implantology is a very significant branch of dentistry that deals with the rehabilitation of edentulous patients. Thus, knowledge of anatomical variations of related neurovascular structures such as the nasop...