Extensive calcifications induced by hyperphosphataemia caused by phosphate-based enema in a patient after kidney transplantation.
نویسندگان
چکیده
The use of phosphate-based enemas as a laxative is still standard practice in clinical medicine. Absorption of phosphate with consecutive hyperphosphataemia and hypocalcaemia is a serious adverse event which is especially dangerous in patients with renal insufficiency and impaired bowel movement. Despite several reports including cases of death, the seriousness of this situation appears to be underestimated in clinical practice [1,2]. We report a case of severe hyperphosphataemia after kidney transplantation induced by phosphatecontaining enemas resulting in fatal calcifications.
منابع مشابه
Phosphate binders and management of hyperphosphataemia in end-stage renal disease.
Hyperphosphataemia is a known factor contributing to the increased risk of cardiac death both in patients with end-stage renal disease (ESRD) and in those under renal replacement treatment with dialysis [1,2]. In patients with renal disease, in fact, the well-known relationship between hyperphosphataemia, secondary hyperparathyroidism, bone turnover and extra osseous calcifications has recently...
متن کاملپیوند همزمان کبد و کلیه در بیمار مبتلا به نارسایی کبدی و کلیوی در یک بیمار 18 ساله
Introduction: Over the years, renal insufficiency caused by liver disorders was an obstacle to liver transplantation in these patients. After presenting a system for the evaluation of various stages of liver disease, simultaneous transplantation of the liver and kidney is considered an appropriate therapeutic treatment in patients who are at the end stage of the liver disease and have secondary...
متن کاملHyperphosphataemia as a cardiovascular risk factor -- how to manage the problem.
Hyperphosphataemia is a frequent and important cardiovascular risk factor in patients with chronic kidney disease (CKD). High phosphate levels may influence vascular calcifications by two separate mechanisms: by worsening secondary hyperparathyroidism, which in turn facilitates calcification, and by promoting calcium phosphate deposition in pre-formed endothelial plaques and in the arterial wal...
متن کاملNEUROLOGIC AND PSYCHOLOGIC COMPLICATIONS AFTER KIDNEY TRANSPLANTATION
Neurologic and psychologic complications are usually related to drug toxicity, infections or symptoms induced by deterioration of renal allograft function. Metabolic encephalopathy, hypertensive encephalopathy, cerebrovascular events, and new-onset seizures have all been reported in organ-transplant recipients. Infections can be caused by listeria, cryptococcus, nocardia, aspergillus and mu...
متن کاملBowel cleansing in patients with chronic renal failure--an often overlooked hazard.
Bowel cleansing in patients with chronic renal failure – an often overlooked hazard Sir, Bowel cleansing is a common almost routine procedure that is used in ambulatory as well as in hospitalized patients in preparation for abdominal surgery, radiological examination of the lower gastrointestinal tract and colonoscopy. Bowel cleansing is also commonly used as a 'relieving' measure in elderly pa...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Nephrology, dialysis, transplantation : official publication of the European Dialysis and Transplant Association - European Renal Association
دوره 21 7 شماره
صفحات -
تاریخ انتشار 2006