The initial reporter alleged there was a discrepant result for one patient sample tested with ck on a cobas 8000 c702 module which led to a delay in the patient receiving the correct diagnosis and the appropriate treatment.The patient reportedly presented to the hospital with whole-body aches, specifically in the abdomen, reduced sensation and strength in one leg, and vomiting.The patient reportedly fell a few days before admission.The patient reportedly had a creatinine value of approximately 400 umol/l and was allegedly in renal failure at the time of admission.The sample was reportedly collected from the patient at the time the patient was admitted to the hospital.The sample reportedly had low volume, so the analysis was performed with the sample placed into a micro-cup on top of a sample tube.The sample initially resulted in a ck value of 414.2 u/l.The patient was allegedly incorrectly diagnosed with cold sepsis due to the value.A second sample collected from the patient on (b)(6) 2023 resulted in a ck value of 99843 u/l, so the low value from the first sample was questioned by the physician.The sample was repeated on (b)(6) 2023, resulting in a ck value of - 305.3 u/l.The sample was diluted 1:50 and repeated on (b)(6) 2023, resulting in a ck value of 173993 u/l.There was reportedly a delay in the patient receiving a correct diagnosis of rhabdomyolysis due to aseptic necrosis following musculoskeletal ischemia likely following a fall.The patient's treatment with forced alkaline diuresis and surgical treatment was reportedly delayed.
|