scholarly journals Hypercalcemia Associated with Acute Kidney Injury and Metabolic Alkalosis

2010 ◽  
Vol 8 (2) ◽  
pp. 92 ◽  
Author(s):  
Jong Hyeok Jeong ◽  
Eun Hui Bae
2018 ◽  
Vol 22 (12) ◽  
pp. 883-885
Author(s):  
Johannes Heymer ◽  
Andreas Lienig ◽  
Joachim Löffler ◽  
Tobias Schilling ◽  
Daniel Räpple

Author(s):  
Katsuhiro Matsuura ◽  
Tomohiko Yoshida ◽  
Takuya Uehara ◽  
Shusaku Yamada ◽  
Hideki Yotsuida ◽  
...  

Abstract CASE DESCRIPTION An 11-year-old sexually intact male Shih Tzu diagnosed with acute kidney injury and left-sided congestive heart failure that had nonelective mitral valve surgery. CLINICAL FINDINGS Metabolic alkalosis developed postoperatively, and plasma bicarbonate concentration peaked 2 days after surgery (40.2 mmol/L; pH, 7.550). TREATMENT AND OUTCOME Acetazolamide administration increased the urinary excretion of bicarbonate and contributed to the improvement of the dog’s acid-base status and oxygenation capacity. Metabolic alkalosis persisted for 4 days after surgery, and no treatment was required after resolution. Plasma urea nitrogen and creatinine concentrations normalized 2 days after surgery. CLINICAL RELEVANCE Severe metabolic alkalosis can occur as a complication following mitral valve surgery. Acetazolamide may be suitable for the treatment of severe metabolic alkalosis.


2020 ◽  
Vol 21 (2) ◽  
pp. 105-108
Author(s):  
Richmond Ronald Gomes ◽  
Diapankar Kumar Basak ◽  
Akmat Ali

Hypokalemia is a common clinical problem in endocrinologists’ and nephrologists’ practice. There are many obvious causes of hypokalemia such as diarrhea, vomiting or diuretics abuse. Other causes such as tubulopathies are rarely observed and their diagnosis is more challenging. There are many inherited and acquired tubulopathies causing hypokalemia, sometimes severe and life-threatening. We report a case of a middle aged female patient who presented with weakness of upper and lower limbs, muscle pain and oliguria. On evaluation, she had hypokalemia, hypomagnesemia, metabolic alkalosis and hypocalciuria and diagnosis of Gitelman syndrome was established. In addition, she had acute kidney injury (AKI ) due to rhabdomyolysis secondary to hypokalemia. A short review on the etiology, pathogenesis and management of Gitelman syndrome is presented. J MEDICINE JUL 2020; 21 (2) : 105-108


2021 ◽  
Vol 16 (1) ◽  
pp. 47-51
Author(s):  
Kenta Hirai ◽  
Kei Nagai ◽  
Takashi Ono ◽  
Masayuki Nakajima ◽  
Tomohiro Hayakawa ◽  
...  

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Nur Ezzaty Mohammad Kazmin ◽  
Lydia Kamaruzaman ◽  
Zhiqin Wong ◽  
Voon Ken Fong ◽  
Rozita Mohd ◽  
...  

Background. Superior mesenteric artery (SMA) syndrome is a rare cause of upper gastrointestinal obstruction leading to acute kidney injury (AKI). Methods. We report a case of 23-year-old army personnel who presented with persistent vomiting leading to severe hypokalaemia, metabolic alkalosis, and acute kidney injury resulting in cardiorespiratory arrest. Results. After successful resuscitation, he was supported with haemodialysis and aggressive electrolytes correction. He was repeatedly not able to tolerate nasogastric (NG) tube feeding and computerised tomography of abdomen was performed, and the diagnosis of SMA syndrome was made. Gastroscopy examination revealed duodenal ulcer at D1, pinhole D1-D2 junction, but there was no evidence of intraluminal mass or lesions leading to upper gastrointestinal obstruction. A nasojejunal tube was inserted to bypass the narrow segment of the duodenum, and he was put on nutritional support. He was subsequently weaned off dialysis support as his renal function gradually improved and later on normalised. He remains symptoms free, and he gained five kilograms in four months after discharge. Conclusions. SMA syndrome is a rare cause of upper gastrointestinal obstruction but should be considered as a differential diagnosis in a patient who presented with recurrent vomiting and AKI with metabolic alkalosis.


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