Fatal Hypocalcaemia Due to Hungry Bone Syndrome with Secondary Refractory HyperParathyroidism after Parathyroidectomy: A Case Report
, , , and | Nov 27, 2019
About this article
Article Category: Case report
Published Online: Nov 27, 2019
Page range: 140 - 144
Received: Jun 02, 2019
Accepted: Sep 09, 2019
DOI: https://doi.org/10.2478/jccm-2019-0021
Keywords
© 2019 Corina Pop Radu, Valentin Daniealopol, Ario Santini, Ruxandra Darie, Daniela Tatiana Sala, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.
Fig. 1
First admission, preoperative and postoperative day 1 and 2 laboratory data
| First admission values | Preoperative values | Postoperative values (POD 1) | Postoperative values (POD 2) | |
|---|---|---|---|---|
| WBC (vn: 3.6-10 x 103) | 8.2x103 | 7.1 x 103 | 7.3 x 103 | - |
| Haemoglobin (vn:12-17g/dL) | 14.6 g/dL | 14 g/dL | 13.7 g/dL | 13.5 g/dL |
| Haematocrit (vn: 36-54 %) | 43% | 42% | 41% | 38% |
| Total calcium (nv: 9-10.5 mg/dL) | 10.9 mg/dL | 11.6 mg/dL | 7.3 mg/dL | - |
| Ionic calcium (nv: 3.8-4.8 mg/dL) | - | - | - | 2.2 -3.1 mg/dL |
| Phosphate (nv: 2.7-4.5 mg/dL) | 4.9 mg/dL | 5.6 mg/dL | 5.3 mg/d | - |
| Sodium (nv: 136-145 mmol/L) | 139 mmol/L | 141 mmol/L | 136 mmol/L | 138 mmol/L |
| Potassium (nv:3.5-5.1 mmol/L) | 4.9 mmol/L | 5.1 mmol/L | 6.2 mmol/L | 6.2 mmol/L |
| Chloride (nv: 98-107mmol/L) | 104 mmol/L | 102 mmol/L | 99 mmol/L | - |
| AlkPhos (nv: 40-150 U/L) | 364 U/L | 376 U/L | 311 U/L | - |
| iPTH (nv: 10-65pg/mL) | 1198 pg/mL | 1257 pg/mL | 47.5 pg/mL | - |
| Creatinine (nv: 0.72-1.25 mg/dL) | 5.1 mg/dL | 5.29 mg/dL | 6.7 mg/dL | - |
| Glucose (nv: 80-115 mg/dL) | 81 mg/dL | 89 mg/dL | 96 mg/dL | 85 mg/dL |