A Rare Presentation of Hypermagnesemia Associated with Acute Kidney Injury due to Hypercalcemia

A 79-year-old Japanese woman presented with consciousness disturbance, hypercalcemia, and hypermagnesemia. She had rheumatoid arthritis and osteoporosis. Three months before admission, she was treated with oral calcitriol for osteoporosis. Two months before admission, she was treated with magnesium...

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Bibliographic Details
Published in:Internal Medicine 2019/04/15, Vol.58(8), pp.1123-1126
Main Authors: Horino, Taro, Ichii, Osamu, Terada, Yoshio
Format: Article
Language:English
Subjects:
25-Hydroxyvitamin D
acute kidney injury (AKI)
Calcitriol
Calcium
Calcium (blood)
Case Report
Consciousness
Constipation
Creatinine
Disturbance
Femur
Hypercalcemia
Hypermagnesemia
hyperparathyroidism
Internal medicine
Kidneys
Magnesium
Magnesium oxide
Osteoporosis
Rheumatoid arthritis
Superconductors (materials)
Vitamin D
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Summary:A 79-year-old Japanese woman presented with consciousness disturbance, hypercalcemia, and hypermagnesemia. She had rheumatoid arthritis and osteoporosis. Three months before admission, she was treated with oral calcitriol for osteoporosis. Two months before admission, she was treated with magnesium oxide for constipation. One month before admission, she underwent articular femoral bone replacement. Two weeks postoperatively, consciousness disturbance and elevated serum calcium levels were observed, and she was transferred to our hospital. On admission, her laboratory data showed elevated serum magnesium and creatinine levels. This is a rare case of coexistent hypercalcemia and hypermagnesemia associated with consciousness disturbance and acute kidney injury.
ISSN:0918-2918
1349-7235
DOI:10.2169/internalmedicine.1927-18