Ureterosigmoidostomy[corrected]-associated quadriparesis, non-traumatic rhabdomyolysis, and tetany in an adult.
We report an adult case of ureterosigmoidostomy-associated quadriparesis, rhabdomyolysis, and tetany which may be the first such case in the literature. A 32-year-old female patient was brought to the emergency room of our hospital, having been unable to walk or use her arms for 24 h. Neurological examination revealed quadriparesis. She had severe hypokalemia (1.27 mmol/l) and metabolic acidosis (pH=7.05). Creatine kinase value was 2,590 U/l on the third day. She received intensive therapy to correct the hypokalemia and acidosis. On the third day of hospitalization tetany was detected in her upper extremities. The patient regained full muscle power after intravenous potassium chloride, bicarbonate, and calcium replacement therapy.
Ozmen
Sehmus
S
Department of Nephrology, Dicle University School of Medicine, Diyarbakir 21280, Turkey. drsehmusozmen@dicle.edu.tr
Danis
Ramazan
R
Akin
Davut
D
Gullu
Nezir
N
Ozmen
Cihan Akgul
CA
Yazanel
Orhan
O
D000138:Acidosis / Q000188:drug therapy / Q000209:etiology; D000328:Adult; D012809:Colon, Sigmoid; D003125:Colostomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007008:Hypokalemia / Q000150:complications* / Q000188:drug therapy; D011782:Quadriplegia / Q000209:etiology*; D012206:Rhabdomyolysis / Q000209:etiology*; D013746:Tetany / Q000188:drug therapy / Q000209:etiology*; D017211:Treatment Failure; D016896:Treatment Outcome; D014519:Ureterostomy / Q000009:adverse effects*