Open AccessHypercalcemia in a Patient with Rhabdomyolysis. A Case Report and a Literature Review
Author(s) -
Shaza Samargandy
Publication year - 2019
Publication title -
saudi journal of internal medicine
Language(s) - English
Resource type - Journals
eISSN - 1658-5763
pISSN - 1658-7367
DOI - 10.32790/sjim.2019.9.2.6
Subject(s) - rhabdomyolysis , oliguria , medicine , calcium , acute kidney injury , septic shock , shock (circulatory) , calcium supplementation , intensive care medicine , anesthesia , sepsis , renal function
Calcium kinetics can be challenging during the different phases of rhabdomyolysis. In this case report we illustrate an unusual biphasic calcium behavior in a 27-year-old male patient who was diagnosed with septic shock and rhabdomyolysis complicated with acute kidney injury and oliguria. Initially he had hypocalcemia but as rhabdomyolysis improved, his calcium levels started to rise to above normal levels despite intermittent dialysis sessions. Hypercalcemia later on responded to denosumab and cautious hydration after his urine output improved.
In conclusion, hypercalcemia can complicate the recovery phase of rhabdomyolysis. Careful monitoring of calcium levels and management are warranted.