Infectious Disease
Infectious disease was consulted as he had leukocytosis with a white
count of 13,000 and lactic acidosis but no source of infection. Repeat
CBCs showed that leukocytosis had resolved on its own. Elevated lactic
acid resolved and was likely elevated due to seizure activity as opposed
to infectious process. Blood cultures showed no growth through
admission. One urinalysis showed some bacteria but also squamous cells
thus we could not diagnose him with a UTI definitively. Lumbar puncture
with CSF was considered but not done as there were no neurological
deficits and the patient improved once BP was controlled. Ultimately, we
did not suspect an infectious diagnosis to be contributing to this
patient’s case.