A Young Adult from the Middle East with Septic Shock, Pancytopenia, and Systolic Dysfunction

Pertinent laboratory data obtained on presentation Value on Presentation Reference Range Complete metabolic panel Sodium, mmol/L 129 136–145 Potassium, mmol/L 3.9 3.4–4.8 Chloride, mmol/L 99 98–107 Bicarbonate, mmol/L 25 22–29 Blood urea nitrogen, mg/dL 9 8–21 Creatinine, mg/dL 0.6 0.7–1.1 Calcium, mg/dL 7.6 8.5–10.5 Ionized calcium, mg/dL 4.2 4.4–5.5 Magnesium, mg/dL 1.7 1.6–2.6 Phosphorus, mg/dL 2.6 2.6–4.7 Glucose, mg/dL 94 74–99 Total protein 5.6 6.0–8.3 Albumin, g/dL 2.6 3.2–5.2 Total bilirubin, mg/dL 0.8 0.3–1.2 Alanine aminotransferase, U/L 67