Postoperative hypocalcemic tetany caused by fleet phospho-soda preparation in a patient taking alendronate sodium: report of a case.
This case report describes a patient who was previously prescribed alendronate (Fosamax) and presented with postoperative hypophosphatemia and hypocalcemic tetany after bowel preparation with Fleet Phospho-Soda. This report suggests that patients taking bone metabolism regulators may not be able to respond appropriately to hypocalcemic stressors.
Campisi
P
P
Department of Surgery, McGill University, Montreal, Quebec, Canada.
Badhwar
V
V
Morin
S
S
Trudel
J L
JL
D000328:Adult; D019386:Alendronate / Q000627:therapeutic use*; D002400:Cathartics / Q000009:adverse effects*; D003082:Colectomy; D003113:Colonoscopy / Q000379:methods; D003424:Crohn Disease / Q000601:surgery; D004338:Drug Combinations; D004733:Enema; D005260:Female; D006801:Humans; D006996:Hypocalcemia / Q000139:chemically induced*; D017674:Hypophosphatemia / Q000139:chemically induced; D010024:Osteoporosis / Q000188:drug therapy; D010710:Phosphates / Q000009:adverse effects*; D011183:Postoperative Complications / Q000139:chemically induced*; D013746:Tetany / Q000139:chemically induced*
D002400:Cathartics; D004338:Drug Combinations; D010710:Phosphates; C018279:sodium phosphate; D019386:Alendronate