Hyperkalemia and digoxin toxicity in a patient with kidney failure.
Hyperkalemia resulting from digoxin toxicity is a well-recognized phenomenon. We report a case in which hyperkalemia, bradycardia, and hypotension were unresponsive to standard therapy but appeared to respond to digoxin-specific antibodies (Fab). This case highlights the importance of a high index of suspicion for digoxin toxicity as a potential cause of refractory hyperkalemia.
Fenton
F
F
University of Connecticut Integrated Residency in Emergency Medicine, Hartford, USA.
Smally
A J
AJ
Laut
J
J
D004077:Digoxin / Q000009:adverse effects*; D005260:Female; D006801:Humans; D006947:Hyperkalemia / Q000139:chemically induced*; D007676:Kidney Failure, Chronic / Q000188:drug therapy*; D008875:Middle Aged
D004077:Digoxin