Abstract
A patient with marked thrombocytosis and leukocytosis associated with myelofibrosis was found to have spurious hyperkalaemia caused by in vitro cell lysis. Initial failure to recognize the cause of the hyperkalaemia led to an inappropriate and potentially harmful intervention in an effort to optimize the patient’s preoperative status.
Résumé
Une hyperkaliémie factice causée par une lyse cellulaire in vitro a été notée chez un patient avec une trombocytose et une leukocytose marquées associées a une myelofibrose. La cause de l’hyperkaliémie n’a pas été reconnue initialement, entraînant une intervention inappropriée et potentiellement néfaste dans une effort pour améliorer l’état pré-opératoire du patient.
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Ho, A.M.H., Woo, J.C.H., Kelton, J.G. et al. Spurious hyperkalaemia associated with severe thrombocytosis and leukocytosis. Can J Anaesth 38, 613–615 (1991). https://doi.org/10.1007/BF03008197
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DOI: https://doi.org/10.1007/BF03008197