Multiple Dyselectrolytemia in a Chronic Alcohol Abuser: A Case Report.

Autor: Meenashi Sundaram D; Internal Medicine, Employees' State Insurance Corporation (ESIC) Medical College and Post Graduate Institute of Medical Science and Research (PGIMSR), Chennai, IND., Madesh VP; Internal Medicine, Employees' State Insurance Corporation (ESIC) Medical College and Post Graduate Institute of Medical Science and Research (PGIMSR), Chennai, IND., Rambrahma Reddy D; Internal Medicine, Employees' State Insurance Corporation (ESIC) Medical College and Post Graduate Institute of Medical Science and Research (PGIMSR), Chennai, IND., Baliga K; Nephrology, Employees' State Insurance Corporation (ESIC) Medical College and Post Graduate Institute of Medical Science and Research (PGIMSR), Chennai, IND.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2023 Mar 20; Vol. 15 (3), pp. e36389. Date of Electronic Publication: 2023 Mar 20 (Print Publication: 2023).
DOI: 10.7759/cureus.36389
Abstrakt: Electrolyte disorders in alcohol-dependent patients can be due to a multitude of reasons. We discuss a patient with diabetes mellitus, seizure disorder, and alcoholism who presented with seizure episodes and vomiting following a binge alcohol intake. The evaluation showed life-threatening metabolic derangements that included hyponatremia, hypokalemia, hypomagnesemia, hypocalcemia, hypochloremia, hypophosphatemia with elevated blood glucose, and metabolic alkalosis with a normal anion gap. Subsequently, a detailed urinary analysis revealed a urinary loss of electrolytes. We emphasize that alcohol-induced tubular injury is a possibility when such a clinical presentation is seen in the emergency room. The complex interplay of various electrolytes in homeostasis posed a great challenge in the management of this patient. Our case reiterates this intricate electrolyte correction policy.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2023, Meenashi Sundaram et al.)
Databáze: MEDLINE
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