Dear Ma'm/ Sir
I am afraid that part of your question is not clear, may be because of spelling/ grammatical errors.
or severe infection can cause elevation of D-dimer
and at times CK. More important is which fraction of CK was found to elevated.
2. Heart may get involved in infections/sepsis. The work-up includes ECG, measuring troponin
and doing ECHO, if clinically warranted.
3. The degree of infection can not be judged online but it seems to be significant by the available data.
Please show her in ER (emergency room) as she has continuous symptoms.