Michael R. Broyles, PharmD – Director of Pharmacy and Lab Services
Bilateral rales and crackles in base of lungs, no shortness of breath, temperature: 37.7˚C, recent increased volume removed during dialysis to achieve goal weight
Significant medical history:
Chronic renal failure on hemodialysis three times a week, history of peritoneal dialysis for five years, autoimmune disease, hypertension (HTN), diabetes mellitus (DM)
Approximately 30% of PCT clearance occurs renally.1 The elevated PCT level on admission was consistent with bacterial pneumonia. The patient was successfully treated with antibiotics. Note: The difference in PCT decrease was higher on dialysis days (approximately 50%) vs. non-dialysis days (approximately 30%). This is to be expected— when there is renal impairment, PCT will only decrease by approximately 30%.1
Submit your own PCT Case Study and you may be selected to be featured on procalcitonin.com. First 5 submissions receive a copy of Procalcitonin – Biochemistry and Clinical Diagnosis by Michael Meisner. This book overviews the most important areas of PCT application.