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Reminder of important clinical lesson
Dyselectrolytemia in acute kidney injury causing tetany and quadriparesis
  1. Atul Vijay Palkar1,
  2. Mayur Mewada2,
  3. Sonal Thakur2,
  4. Makardhwaj Sarvadaman Shrivastava2
  1. 1Department of Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
  2. 2Department of Internal Medicine, Lokmanya Tilak Municipal Medical College and General Hospital, Mumbai, Maharashtra, India
  1. Correspondence to Dr Makardhwaj Sarvadaman Shrivastava, makar_in{at}rediffmail.com

Summary

A 40-year-old female, presented with prerenal acute kidney injury secondary to diarrhoea. With appropriate hydration, she went into diuretic phase and subsequently developed hypokalemic quadriparesis with hypocalcaemic tetany due to hypomagnesemia and subclinical vitamin D deficiency. The patient improved with oral potassium, magnesium, calcium and vitamin D supplementation.

https://doi.org/10.1136/bcr.06.2011.4332

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    Footnotes

    • Competing interests None.

    • Patient consent Obtained.