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Severe Hypermagnesemia with Normal Renal Function Can Improve with Symptomatic Treatment
المؤلفون المشاركون
Ishida, Yoshiaki
Tabuchi, Akihiko
المصدر
Case Reports in Emergency Medicine
العدد
المجلد 2020، العدد 2020 (31 ديسمبر/كانون الأول 2020)، ص ص. 1-4، 4ص.
الناشر
Hindawi Publishing Corporation
تاريخ النشر
2020-07-14
دولة النشر
مصر
عدد الصفحات
4
التخصصات الرئيسية
الملخص EN
Hypermagnesemia is a rare disorder and commonly occurs in patients with renal dysfunction.
Supportive therapy for hypermagnesemia consists of administration of high-volume fluids, calcium preparation, diuretics, and, in severe cases, hemodialysis.
Few reports have described severe hypermagnesemia patients with normal renal function who improved without hemodialysis.
A 56-year-old woman presented with a history of constipation in spite of taking constipation medicine, including MgO.
She was brought to our emergency department due to vomiting and diffuse distension of the abdomen.
Sudden vomiting, weakness, and lower level of consciousness occurred during examination.
Her blood pressure dropped to 77/34 mmHg, and deep tendon reflexes of the limbs disappeared.
Abdominal computed tomography showed bowel distension with wall edema, and biochemical testing showed serum Mg at 13.5 mg/dl.
She was diagnosed with severe hypermagnesemia associated with intestinal obstruction and administered intravenous loop diuretics and calcium preparation in addition to high volumes of normal saline.
As the serum Mg level steadily declined, her level of consciousness returned to usual.
This case suggests that severe hypermagnesemia can occur in patients with normal renal function and constipation under MgO.
Severe hypermagnesemia with normal renal function can improve with symptomatic treatment without hemodialysis.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
Ishida, Yoshiaki& Tabuchi, Akihiko. 2020. Severe Hypermagnesemia with Normal Renal Function Can Improve with Symptomatic Treatment. Case Reports in Emergency Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147197
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
Ishida, Yoshiaki& Tabuchi, Akihiko. Severe Hypermagnesemia with Normal Renal Function Can Improve with Symptomatic Treatment. Case Reports in Emergency Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1147197
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
Ishida, Yoshiaki& Tabuchi, Akihiko. Severe Hypermagnesemia with Normal Renal Function Can Improve with Symptomatic Treatment. Case Reports in Emergency Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147197
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references
رقم السجل
BIM-1147197
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