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By day 4 of hospitalization, the patient's level of creatine phosphokinase had elevated to 146 266 U/L, the level of aspartate aminotransferase was 3082 U/L, the level of alanine aminotransferase was 1144 U/L, and the level of lactate dehydrogenase was 4687 U/L. The following results were observed: platelets 127,000/[micro]L (normal 150,000-450,000), aspartate aminotransferase 108 U/L (normal <31), alanine amino-transferase 154 U/L (normal <34), gamma-glutamyl transferase 98 U/L (normal <38), lactate dehydrogenase 317 U/L (normal <247), alkaline phosphatase 314 U/L (normal <237), direct bilirubin 4. Somero looked at the enzyme lactate dehydrogenase from closely related species of cold-water fish called notothenioids. |
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