Hypomagnesemia following the diuresis of post-renal obstruction and renal transplant.
Three unusual cases are described which demonstrated hypomagnesemia and symptoms resembling magnesium deficiency syndrome. The hypomagnesemia was most likely secondary to urinary losses from diuresis following release of post-renal obstruction and renal homotransplantation. Heretofore, this association has not been described. Case 1 was unique because of the post-obstructive diuresis in the face of marked renal impairment. Case 2 is noteworthy because of the profound hypomagnesemia, 0.4 mEq/1, and because of the development of congestive heart failure. The rapid improvement noted in cardiac function with magnesium replacement suggests a relationship to magnesium deficiency.
D000328:Adult; D001002:Anuria / Q000628:therapy; D004231:Diuresis; D005260:Female; D005921:Glomerulonephritis / Q000601:surgery; D006801:Humans; D052177:Kidney Diseases, Cystic / Q000601:surgery; D016030:Kidney Transplantation; D008274:Magnesium / Q000097:blood* / Q000652:urine; D008275:Magnesium Deficiency / Q000188:drug therapy / Q000209:etiology*; D008278:Magnesium Sulfate / Q000627:therapeutic use; D011183:Postoperative Complications / Q000188:drug therapy / Q000209:etiology; D011878:Radiotherapy / Q000009:adverse effects; D014184:Transplantation, Homologous; D014546:Urinary Catheterization; D002583:Uterine Cervical Neoplasms / Q000532:radiotherapy
D008278:Magnesium Sulfate; D008274:Magnesium