Open AccessUnrecognized Primary Hypoparathyroidism with Severe Hypocalcemia in the Presence of COVID-19 Infection
Author(s) -
Domas Grigoravičius,
Laura Šiaulienė,
Žydrūnė Visockienė
Publication year - 2022
Publication title -
acta medica lituanica
Language(s) - English
Resource type - Journals
eISSN - 2029-4174
pISSN - 1392-0138
DOI - 10.15388/amed.2021.29.1.9
Subject(s) - hypoparathyroidism , medicine , subclinical infection , primary hyperparathyroidism , hypomagnesemia , delirium , pediatrics , disease , intensive care medicine , materials science , magnesium , metallurgy
Primary hypoparathyroidism (PHPT) is a rare disease most commonly caused by surgical parathyroid glands destruction or genetic disorders. PHPT manifestation varies from subclinical to acute or even lethal symptoms. In atypical presentation the signs of hypocalcemia could be missed, and asymptotic chronic hypocalcemia could manifest only in the presence of exacerbated comorbidities, infections, hypomagnesemia or certain medications. We present a case of PHPT with severe hypocalcemia manifesting as seizures and delirium in a presence of COVID-19 infection.