Hyperphosphatemia in a Patient with Candida Sepsis

A 56-year-old man with a history of intravenous drug use and multiple infectious complications developed candida fungemia, which was initially treated with fluconazole and then liposomal amphotericin. At admission, he had normal calcium, phosphate, and magnesium but developed persistent hyperphosphatemia (phosphotungstate on Beckman DCxI) with values of 5 to 6.5 mg/dL (reference interval 2.5–4.5 mg/dl) despite only mild, stable renal …