Case Report

Dosing of Antimycotic Treatment in Sepsis–Induced Liver Dysfunction by Functional Liver Testing with LiMAx®

Table 1

Course of laboratory values.

Value2nd July4th July5th July6th July7th July9th July10th July11th July12th July13th July17th July25th July

Caspofungin dose (mg/d)0.000.0070.0050.0050.0050.0050.0050.0035.0035.0035.0050.00
Bilirubin (mg/dL)1.401.501.801.700.900.500.600.600.700.600.900.30
Creatinine (mg/dL)1.121.351.551.722.303.582.942.711.951.320.740.83
INR1.021.141.141.091.091.101.131.071.061.031.111.32
Leucocytes (Gpt/l)22.4022.4066.5041.9031.0023.3047.7037.3023.0012.8011.006.90
Albumin g/dL15.1019.9015.3016.4017.2016.4017.3019.7014.1016.6016.0014.80
Quick (%)83.0081.0079.0087.0087.0086.0082.0089.0091.0095.0085.0065.00
CVVHD (yes/no)YesYesYesYesYesYesYesYesYesYesNo
MELD21.0023.0023.0023.0021.0021.0021.0021.0021.0021.0021.0023.00
MELD (without dialysis)101214151517161512743
Mortality (%)19.6019.6019.6019.6019.6019.6019.6019.6019.6019.6019.6019.60
LiMAx (µg/kg/h)351.00201.00402.00
ASAT (U/l)113.00124.0089.0082.00101.00102.0075.00372.00168.0078.0040.0021.00
ALAT (U/l)84.0059.0046.0043.0052.0067.0056.00225.00158.00108.0046.0039.00
Sodium (mmol/L)145.00153.00144.00154.00151.00146.00147.00149.00149.00152.00143.00146.00
Interleukin 6 (pg/mL)124.70561.70323.00165.20746.1087.60126.10
CRP (mg/L)144.30130.10250.80226.90157.8084.1080.20141.00105.7070.8077.40114.90
Fibrinogen (g/L)4.303.313.883.062.493.613.543.542.892.293.393.39
Lactate (mmol/L)0.731.111.341.011.471.562.782.161.171.020.710.68