Hypercalcaemia and hypokalaemia in tuberculosis.
نویسندگان
چکیده
In two patients with extensive pulmonary tuberculosis who developed hypercalcaemia and hypokalaemia the hypercalcaemia appeared related to the use of small doses of vitamin D, which suggested patients with tuberculosis were hypersensitive to vitamin D. They were thus similar to patients with sarcoidosis, and it is interesting that the Kveim test result was positive in both cases. The hypercalcaemia was quickly suppressed with steroids. Hyperparathyroidism, thyrotoxicosis, Addison's disease, and multiple myeloma were excluded on clinical grounds and by the appropriate tests. The hypokalaemia was associated with increased renal excretion of potassium, and was probably due to distal tubular damage from hypercalcaemia.
منابع مشابه
Electrocardiographic abnormalities in combined hypercalcaemia and hypokalaemia--case report.
A 47-year-old woman presented with extreme hypercalcaemia due to a parathyroid carcinoma. An electrocardiogram which was recorded when the hypercalcaemia was associated with hypokalaemia showed absence of the ST segment, prolonged T wave, a shortened QTac interval and prominent U waves.
متن کاملLysozyme and hypokalaemia.
Serum potassium, lysozyme and urinary lysozyme measurements were made in 98 patients with tuberculosis, 18 with sarcoidosis and 30 with acute myeloid leukaemia. Serum K concentration fell below 3.5 mmol/l in 17 of the 30 leukaemic patients and only 7 of these had raised serum lysozyme concentrations. None of the patients in the tuberculosis-sarcoidosis group with lysozymaemia or lysozymuria dev...
متن کاملHypercalcaemic crisis in an elderly patient with pulmonary tuberculosis
Tuberculosis is an uncommon but recognized cause of hypercalcaemia, though calcium levels are seldom severely elevated and rarely result in symptoms. In the elderly patient however, several competing aetiologies may contribute to hypercalcaemia and the diagnostic evaluation may be confounded by polypharmacy as well as multiple co-existing medical conditions. We present here a case of an elderly...
متن کاملHypercalcaemia in Greek patients with tuberculosis before the initiation of anti-tuberculosis treatment.
Hypercalcaemia has been known to occur in association with granulomatous diseases. The aim of this study was to ascertain the incidence of hypercalcaemia and determine the prevalence of symptoms associated with it in Greek patients with newly-diagnosed tuberculosis (TB), before the initiation of anti-tuberculosis treatment. We prospectively evaluated all patients with newly-diagnosed TB present...
متن کاملInadvertent haemodialysis in a pulmonary tuberculosis patient with hypercalcaemia.
Dear Editor, Malaysia is a country with an intermediate burden of tuberculosis (TB) with a prevalence of 121 cases per 100,000 population per year.1 TB usually presents with fever, chronic cough, weight loss and lack of appetite, dypsnoea and night sweats. Hypercalcaemia is a well known but rare complication of TB. The prevalence of hypercalcaemia in patients with untreated TB varies widely bet...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- Thorax
دوره 33 4 شماره
صفحات -
تاریخ انتشار 1978