Hypercalcemia, inappropriate calcitriol levels, and tuberculosis on hemodialysis.
We describe a female patient undergoing hemodialysis who developed tuberculosis, hypercalcemia, and inappropriately elevated calcitriol levels. These findings suggest ectopic production of calcitriol by tuberculous granulomas. Successful treatment of tuberculosis led to a substantial decrease in the levels of calcium and calcitriol.
Peces
R
R
Nephrology Service, Central Hospital of Asturias, Oviedo, Spain.
Pobes
A
A
Díaz-Corte
C
C
Gago
E
E
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D002117:Calcitriol / Q000378:metabolism*; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D006934:Hypercalcemia / Q000150:complications*; D016867:Immunocompromised Host; D007676:Kidney Failure, Chronic / Q000628:therapy; D016030:Kidney Transplantation; D010281:Parathyroid Hormone / Q000378:metabolism; D006435:Renal Dialysis; D014397:Tuberculosis, Pulmonary / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy
D000995:Antitubercular Agents; D010281:Parathyroid Hormone; D002117:Calcitriol