title: Acute hypophosphataemia and hypokalaemia in a patient starting antiretroviral therapy in Zambia-a new context for refeeding syndrome?
abstract: High mortality rates have been reported in the first 90 days of antiretroviral therapy in Zambia and other low-income countries. We report a case of acute hypophosphataemia and hypokalaemia in the first week of antiretroviral therapy in a patient with extreme AIDS wasting. Given its occurrence in an extremely wasted patient, it may be physiologically similar to refeeding syndrome but other causes could be relevant as well. Acute hypophosphataemia may contribute to early antiretroviral therapy associated mortality in low-income countries.
authors.affiliation: University Teaching Hospital, Internal Medicine, Ridgeway Campus, Lusaka, N/A, Zambia.
authors.forename: Christopher
authors.initials: C
authors.lastname: Nyirenda
authors.forename: Isaac
authors.initials: I
authors.lastname: Zulu
authors.forename: Edmond K
authors.initials: EK
authors.lastname: Kabagambe
authors.forename: Shashwatee
authors.initials: S
authors.lastname: Bagchi
authors.forename: Dara
authors.initials: D
authors.lastname: Potter
authors.forename: Claire
authors.initials: C
authors.lastname: Bosire
authors.forename: Zipporah
authors.initials: Z
authors.lastname: Krishnasami
authors.forename: Douglas C
authors.initials: DC
authors.lastname: Heimburger