Keywords
Seizure, hypokalaemia, hyperparathyroidism, itraconazole
Abstract
Abstract:
A 68-year-old man was admitted because of tonic–clonic convulsion. He had been receiving 200 mg itraconazole for 10 days. He had hypokalaemia (2.2 mEq/l), hypercalcaemia (Cacorr 11.0 mg/dl) and elevated serum parathyroid hormone (PTH, 95 pg/ml). Ultrasound examination of the neck revealed a low echoic tumour. Cessation of itraconazole and fluid supplementation eradicated clinical symptoms and profound hypokalaemia, but serum potassium remained low normal (3.4 mEq/l) and the mild hypercalcaemia and elevated PTH were unchanged. To conclude, a small amount of itraconazole (200 mg) precipitated profound hypokalaemia and seizure in a patient with mild hyperparathyroidism and low normal serum potassium.
References
Views: 1109
HTML downloads: 1487
PDF downloads: 480
Table 1 downloads: 0
Author Information downloads: 0
CopyrightForm downloads: 0
COI downloads: 0
Published:
2015-06-30
Issue:
Vol. 2 No. 3 (2015)
(view)