title: Hypokalemic quadriparesis: an unusual manifestation of leptospirosis.
abstract: We report a 46-year-old male who presented with fever and flaccid weakness of all four limbs due to Leptospirosis associated hypokalemia. Acute hypokalemic quadriparesis is an uncommon presentation of leptospirosis, not yet widely recognised. Renal potassium wasting occurs in Leptospirosis and subsequently, the development of hypokalemia leads to paralysis. The patient had kaliuresis due to leptospirosis which improved with antibiotics and potassium replacement.
authors.affiliation: Professor, Department of Internal Medicine, Saveetha Medical College & Hospital, Saveetha University , Saveetha Nagar, Thandalam, Chennai - 602 105, Tamilnadu, India .
authors.forename: Mahendran
authors.initials: M
authors.lastname: K
authors.affiliation: Associate Professor, Department of Internal Medicine, Saveetha Medical College & Hospital, Saveetha University , Saveetha Nagar, Thandalam, Chennai - 602 105 , Tamilnadu, India .
authors.forename: Kannan
authors.initials: K
authors.lastname: R
authors.affiliation: Associate Professor, Department of pediatrics, Saveetha Medical College & Hospital, Saveetha University , Saveetha Nagar, Thandalam, Chennai - 602 105, Tamilnadu, India .
authors.forename: Lal
authors.initials: L
authors.lastname: D V
authors.affiliation: House Surgeon, Department of Internal Medicine, Saveetha Medical College & Hospital, Saveetha University , Saveetha Nagar, Thandalam, Chennai - 602 105, Tamilnadu, India .
authors.forename: Rajiv
authors.initials: R
authors.lastname: G
authors.affiliation: Professor & Head of the Department, Department of Internal Medicine, Saveetha Medical College & Hospital, Saveetha University , Saveetha Nagar, Thandalam, Chennai - 602 105, Tamilnadu, India .
authors.forename: Rajendran
authors.initials: R
authors.lastname: K
keywords: Hypokalemia; Kaliuresis; Leptospirosis; Quadriparesis