Severe Hypermagnesemia with Normal Renal Function Can Improve with Symptomatic Treatment
Joint Authors
Ishida, Yoshiaki
Tabuchi, Akihiko
Source
Case Reports in Emergency Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-07-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract 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.
American Psychological Association (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
Modern Language Association (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
American Medical Association (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
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147197