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An Unusual yet "Mg"nificent Indication for Hemodialysis.
- Source :
-
Seminars in dialysis [Semin Dial] 2016 May; Vol. 29 (3), pp. 247-50. Date of Electronic Publication: 2016 Feb 25. - Publication Year :
- 2016
-
Abstract
- Hypermagnesemia is an uncommon electrolyte abnormality, due to the fact that magnesium toxicity is only seen in the setting of a massive exposure to exogenous magnesium, often in the setting of renal insufficiency. Here, we report a case of severe hypermagnesemia that resulted in complete paralysis that was secondary to Renacidin administration, a rarely used agent used for intra-renal pelvic or intra-vesicular instillation dissolution of struvite stones. The patient also had concurrent acute kidney injury (AKI). The patient's magnesium was as high as 16.7 mg/dL, and he initially received hemodialysis followed by continuous venovenous hemodialysis. These therapies resulted in a rapid reduction in magnesium levels and eventual resolution of the muscular weakness. The case discussion highlights several key aspects of magnesium homeostasis, the limited mechanistic understanding of Renacidin-induced hypermagnesemia, and the role of renal replacement therapies in the treatment of hypermagnesemia.<br /> (© 2016 Wiley Periodicals, Inc.)
Details
- Language :
- English
- ISSN :
- 1525-139X
- Volume :
- 29
- Issue :
- 3
- Database :
- MEDLINE
- Journal :
- Seminars in dialysis
- Publication Type :
- Academic Journal
- Accession number :
- 26915350
- Full Text :
- https://doi.org/10.1111/sdi.12479