title: Symptomatic hypercalcemia in a rabies survivor underwent hemodialysis.
abstract: Adrenal insufficiency is an uncommon and easily ignored cause among most etiologies of hypercalcemia because not all cases of adrenal insufficiency presented with hypercalcemia. In most cases of adrenal insufficiency, viral encephalitis-related panhypopituitarism is a rare complication that is sporadically encountered in previous studies. However, this complication has never been reported in rabies encephalitis because of the extremely high rate of mortality. Rapid recovery from hypercalcemia state after glucocorticoid supplement is a direct hint of adrenal insufficiency related hypercalcemia.
authors.affiliation: Division of Hematology/Oncology, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
authors.forename: Yu-Guang
authors.initials: YG
authors.lastname: Chen
authors.forename: Li-Ping
authors.initials: LP
authors.lastname: Kan
authors.forename: Chien-Hsing
authors.initials: CH
authors.lastname: Lee
authors.forename: Shih-Hua
authors.initials: SH
authors.lastname: Lin
authors.forename: Der-Ming
authors.initials: DM
authors.lastname: Chu
authors.forename: Feng-Yee
authors.initials: FY
authors.lastname: Chang
authors.forename: Ya-Sung
authors.initials: YS
authors.lastname: Yang
mesh_terms: D000309:Adrenal Insufficiency / Q000097:blood / Q000209:etiology / Q000628:therapy*; D000328:Adult; D005938:Glucocorticoids / Q000008:administration & dosage*; D006801:Humans; D006934:Hypercalcemia / Q000097:blood / Q000188:drug therapy* / Q000209:etiology; D008297:Male; D011818:Rabies / Q000097:blood / Q000628:therapy*; D006435:Renal Dialysis; D017741:Survivors
chemical_list: D005938:Glucocorticoids
keywords: Rabies; adrenal insufficiency; encephalitis; hypercalcemia; hypopituitarism