Vanishing polyuria and respiratory failure.
- Ruggieri F Department of Internal Medicine, Division of General Internal Medicine, University of Zurich, Zurich, Switzerland. statale113@hotmail.com
- Chiesa A
- Schorn K
- Strobel K
- Maggiorini M
- Schmid C
- 2012-07-14
Published in:
- BMJ case reports. - 2010
Adenoma
Adult
Humans
Hypercalcemia
Male
Multiple Organ Failure
Parathyroid Neoplasms
Polyuria
Respiratory Distress Syndrome, Adult
English
A 44-year-old man with headache, sweating, subfebrile temperature and profound fatigue was found to have hypercalcaemic crisis with renal failure. Despite standard therapy, calcium levels remained high, he became anuric and developed multi-organ failure with acute respiratory distress syndrome requiring high ventilatory support, norepinephrine, dobutamine and continuous veno-venous haemodiafiltration. Ectopic calcification was found in the lungs, in the thyroid, kidneys, heart and stomach. A large parathyroid adenoma was then removed. When last seen, 11 months after surgery, the patient no longer required oxygen, and total lung capacity had returned to normal.
- Language
-
- English
- Open access status
- green
- Identifiers
-
- DOI 10.1136/bcr.10.2009.2416
- PMID 22791497
- Persistent URL
- https://sonar.ch/global/documents/96450
Statistics
Document views: 13
File downloads:
- fulltext.pdf: 0