Utilize este identificador para referenciar este registo: http://hdl.handle.net/10400.10/804
Título: Reversible myocardial calcification following severe leptospirosis complicated with rhabdomyolysis-induced acute kidney injury and magnesium-wasting nephropathy
Autor: Zakout, R
Perloiro, MC
Freitas, P
Palavras-chave: Leptospirosis
Myocardial calcification
Acute kidney injury
Rhabdomyolysis
Magnesium wasting nephropathy
Data: 2013
Editora: Elmer Press
Citação: J Med Cases. 2013;4(2):92-98
Resumo: We present a patient with leptospirosis infection who presented septic shock with multiple-organ dysfunction syndrome, severe rhabdomyolysis and acute myocarditis. He developed biphasic blood calcium pattern with hypocalcemia in the oliguric phase followed by hypercalcemia during the recovery diuretic phase in the context of rhabdomyolysis and oliguric acute kidney injury. Meanwhile, he developed an extensive calcification of the myocardium. Severe renal magnesium wasting was observed during the convalescence phase. Follow-up showed progressive resorption and later almost total disappearance of the calcific deposits in the heart by the 18th month after discharge. Renal magnesium wasting decreased gradually, but yet persisted beyond the 18th and was normalized only by the 36th month after discharge. We discuss the pathophysiologic mechanisms involved in the myocardial calcification and renal magnesium wasting and suggest a possibility of a contributing role of magnesium renal wasting in mobilization of calcium deposits out of myocardium
Peer review: yes
URI: http://hdl.handle.net/10400.10/804
ISSN: 1923-4163
Aparece nas colecções:MED - Artigos

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