Critical Care Medicine, Surgery
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PCT levels are elevated post-op for 24 to 36 hours, then quickly trend down to normal.1
A PCT result of 160 μg/L was extremely elevated, indicative of bacterial burden (> 5 ng/mL).2 The elevated PCT finding of 160 μg/L can aid in the differential diagnosis: Hypovolemia vs. peritonitis. The patient was taken back to the OR whereby bowel perforation secondary to anastomotic leak was confirmed and repaired.
Post-op, antibiotics were initiated Vancomycin, Imipenem, and Moxifloxacin, serial PCT levels were monitored and trended down, of note there was a continual decrease of > 50% daily confirming the patient was responding to therapy.
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