scholarly journals Hypercalcemia in a Patient with Rhabdomyolysis. A Case Report and a Literature Review

2019 ◽  
Vol 9 (2) ◽  
pp. 45-49
Author(s):  
Shaza A. Samargandy

Calcium kinetics can be challenging during the different phases of rhabdomyolysis. In this case report we illustrate an unusual biphasic calcium behavior in a 27-year-old male patient who was diagnosed with septic shock and rhabdomyolysis complicated with acute kidney injury and oliguria. Initially he had hypocalcemia but as rhabdomyolysis improved, his calcium levels started to rise to above normal levels despite intermittent dialysis sessions. Hypercalcemia later on responded to denosumab and cautious hydration after his urine output improved. In conclusion, hypercalcemia can complicate the recovery phase of rhabdomyolysis. Careful monitoring of calcium levels and management are warranted.

2016 ◽  
Author(s):  
B Li ◽  
Q Wen ◽  
Z Gao ◽  
Z Hu ◽  
X Yang ◽  
...  

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Fareed B. Kamar ◽  
Rory F. McQuillan

Cholestyramine is a bile acid sequestrant that has been used in the treatment of hypercholesterolemia, pruritus due to elevated bile acid levels, and diarrhea due to bile acid malabsorption. This medication can rarely cause hyperchloremic nonanion gap metabolic acidosis, a complication featured in this report of an adult male with concomitant acute kidney injury. This case emphasizes the caution that must be taken in prescribing cholestyramine to patients who may also be volume depleted, in renal failure, or taking spironolactone.


2013 ◽  
Vol 52 (21) ◽  
pp. 2457-2460 ◽  
Author(s):  
Sahoko Chiba ◽  
Kimitake Tsuchiya ◽  
Hiroyuki Sakashita ◽  
Eisaku Ito ◽  
Naohiko Inase

Sign in / Sign up

Export Citation Format

Share Document