Is dilution important: Factitious Total Creatine Kinase in case of Rhabdomyolysis? BD01-BD02
Dr. Sunil Kumar Nanda,
Professor, Department of Biochemistry, Pondicherry Institute of Medical Sciences, Pondicherry, India.
Factitious test reports may result in incorrect diagnosis and incorrect management. Such incorrect diagnosis can be prevented by a vigilant biochemist. We report a case of Rhabdomyolysis presenting with extremely low total Creatine Kinase (CK) levels which was factitious. Running the sample in dilution resulted in a very high value of total CK which could have been missed if the sample was not run in dilution and the diagnosis of Rhabdomyolysis could have been missed.