Article Text

Download PDFPDF
CASE REPORT
Hypophosphataemia: an important cause of collapse
  1. David M Williams1,2,
  2. Natasha Shrikrishnapalasuriyar1,
  3. David E Price1,
  4. Jeffrey W Stephens1,2
  1. 1Department of Diabetes and Endocrinology, Morriston Hospital, Swansea, UK
  2. 2Diabetes Research Unit, College of Medicine, Swansea University, Swansea, UK
  1. Correspondence to Dr David M Williams, david.williams{at}doctors.org.uk

Summary

We present a case of a 44-year-old man, civil servant, who presented to the emergency department (ED) following an episode of collapse. He was usually fit and well and while at work he had developed a headache with pins and needles over his face and subsequently collapsed. On arrival to ED, he had a Glasgow Coma Scale (GCS) of 4/15. There was no history of note apart from being prescribed citalopram for depression. Laboratory investigations revealed severe hypophosphataemia (phosphate 0.19 mmol/L) and no other electrolyte abnormality. He was commenced on intravenous phosphate and his GCS improved to 15 within 4 hours. Further investigations revealed no cause for his severe hypophosphataemia and repeat bloods in clinic follow-up showed a normal phosphate level.

  • metabolic disorders
  • fluid electrolyte and acid-base disturbances

Statistics from Altmetric.com

Footnotes

  • Contributors DW and NS wrote the manuscript. DP and JS critically reviewed and edited the manuscript. All authors approve the final version for publication.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.