Bilateral vocal cord paralysis secondary to treatment of severe hypophosphatemia in a continuous ambulatory peritoneal dialysis patient.

Abstract

Neuromuscular complications, including tetany and laryngeal spasm, are recognized complications of hypocalcemia and hypomagnesemia. We present a continuous ambulatory peritoneal dialysis patient with hypomagnesemia who developed hyperphosphatemia and profound hypocalcemia after oral phosphate replacement for severe hypophosphatemia. The combination of hypocalcemia and hypomagnesemia resulted in life-threatening bilateral vocal cord paralysis. Phosphate replacement should be determined and given cautiously, particularly in patients with renal failure and concomitant electrolyte disturbances.

• Authors: W C Lye, S O Leong
• Journal: American journal of kidney diseases : the official journal of the National Kidney Foundation (Am J Kidney Dis) Vol. 23 Issue 1 Pg. 127-9 (Jan 1994) ISSN: 0272-6386 [Print] United States
• PMID: 8285187 (Publication Type: Case Reports, Journal Article)

Chemical References

• Magnesium

Topics

• Female
• Humans
• Hypocalcemia (chemically induced, complications)
• Hypophosphatemia (drug therapy, etiology)
• Magnesium (blood)
• Middle Aged
• Peritoneal Dialysis, Continuous Ambulatory (adverse effects)
• Tetany (etiology)
• Vocal Cord Paralysis (etiology)