[Severe hyperkalemia in combination with gastroenteritis in previously colectomized patient].
Severe hyperkalemia is a life-threatening condition that causes primarily cardiac and muscular dysfunction with potentially fatal consequences. This case report describes a case of severe hyperkalemia (9,1 mmol/l) caused by acute prerenal failure due to dehydration. The severe dehydration was caused by a combination of reduced fluid intake due to gastroenteritis and a hampered capacity for intestinal fluid absorption, due to previous colectomy. The patient developed classic signs of hyperkalemia with electrocardiogram changes and muscular dysfunction.
Bremholm
Lasse
L
Gastroenheden, Hvidovre Hospital, DK-2650 Hvidovre, Denmark. hoersted-bremholm@webspeed.dk
Winkel
Rasmus
R
Hansen
Erik Feldager
EF
D000208:Acute Disease; D001145:Arrhythmias, Cardiac / Q000175:diagnosis / Q000209:etiology; D003082:Colectomy / Q000009:adverse effects*; D003681:Dehydration / Q000150:complications / Q000209:etiology; D004562:Electrocardiography; D005759:Gastroenteritis / Q000150:complications*; D006801:Humans; D006947:Hyperkalemia / Q000209:etiology* / Q000503:physiopathology; D008297:Male; D008875:Middle Aged