Middle aged male with pulmonary tuberculosis and refractory hypercalcemia at a tertiary care centre in South East Asia: a case reportReportar como inadecuado




Middle aged male with pulmonary tuberculosis and refractory hypercalcemia at a tertiary care centre in South East Asia: a case report - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

Cases Journal

, 2:6316

First Online: 06 July 2009Received: 03 March 2009Accepted: 30 May 2009DOI: 10.4076-1757-1626-2-6316

Cite this article as: Rizwan, A. & Islam, N. Cases Journal 2009 2: 6316. doi:10.4076-1757-1626-2-6316

Abstract

55-year male of Asian descent presented with weight loss, lethargy, drowsiness and low grade fever without cough. Examination revealed crackles in the chest but no focal neurological deficit. Chest X ray revealed an infiltrate consistent with tuberculosis. Biopsy of infiltrate was negative for malignancy. Corrected calcium level revealed parathyroid independent hypercalcemia. Further diagnostic work up for drowsiness and hypercalcemia was normal. Despite receiving hydration and pharmacotherapy for his hypercalcemia, his condition failed to improve. When steroids were started, the patient-s calcium levels and symptomatology resolved. Tuberculosis causing hypercalcemia is uncommon. Steroids are useful agents, particularly in refractory cases.

AbbreviationsACEAngiotensin Converting Enzyme

AFBAcid Fast Bacilli

CSF D-RCerebrospinal Fluid Detailed Report

MRIMagnetic Resonance Imaging

25-OH vitamin D25 hydroxyvitamin D.

Download fulltext PDF



Autor: Azra Rizwan - Najmul Islam

Fuente: https://link.springer.com/







Documentos relacionados