Acute hypophosphataemia and hypokalaemia in a patient starting antiretroviral therapy in Zambia--a new context for refeeding syndrome? | Zendy

Carsie Nyirenda | Zendy; I. Zulu | Zendy; Edmond K. Kabagambe | Zendy; Shashwatee Bagchi | Zendy; Dorothy A. Potter | Zendy; Claire Bosire | Zendy; Zipporah Krishnasami | Zendy; Douglas C. Heimburger | Zendy

Open Access

Acute hypophosphataemia and hypokalaemia in a patient starting antiretroviral therapy in Zambia--a new context for refeeding syndrome?

Author(s) -

Carsie Nyirenda,

I. Zulu,

Edmond K. Kabagambe,

Shashwatee Bagchi,

Dorothy A. Potter,

Claire Bosire,

Zipporah Krishnasami,

Douglas C. Heimburger

Publication year - 2009

Publication title -

bmj case reports

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.231

H-Index - 26

ISSN - 1757-790X

DOI - 10.1136/bcr.07.2008.0469

Subject(s) - medicine , wasting , antiretroviral therapy , context (archaeology) , hypophosphatemia , refeeding syndrome , hypokalemia , intensive care medicine , pediatrics , human immunodeficiency virus (hiv) , malnutrition , immunology , viral load , paleontology , biology

High mortality rates have been reported in the first 90 days of antiretroviral therapy in Zambia and other low-income countries. We report a case of acute hypophosphataemia and hypokalaemia in the first week of antiretroviral therapy in a patient with extreme AIDS wasting. Given its occurrence in an extremely wasted patient, it may be physiologically similar to refeeding syndrome but other causes could be relevant as well. Acute hypophosphataemia may contribute to early antiretroviral therapy associated mortality in low-income countries.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research