Prolonged disturbance of consciousness caused by severe hypophosphatemia: a report of two cases
| Autor: | Takaaki Murakami, Seiji Muro, Masanori Yoshida, Tomoko Funazo, Takuo Nambu, Koji Matsuo, Shogo Oki, Shin Yonemitsu, Yuki Matsuda |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Acute exacerbation of chronic obstructive pulmonary disease Pediatrics Disturbance (geology) Diabetic ketoacidosis Consciousness Hypophosphatemia media_common.quotation_subject Unconsciousness Severity of Illness Index Diabetic Ketoacidosis Phosphates Pulmonary Disease Chronic Obstructive Severity of illness Internal Medicine medicine Humans Intensive care medicine Asthma media_common Aged business.industry Nutritional Support General Medicine Middle Aged medicine.disease Alertness Phosphorus Dietary Female business Follow-Up Studies |
| Zdroj: | Internal medicine (Tokyo, Japan). 53(19) |
| ISSN: | 1349-7235 |
| Popis: | We herein describe two patients with a prolonged disturbance of consciousness due to severe hypophosphatemia. Case one presented with pneumococcal infection and acute exacerbation of chronic obstructive pulmonary disease and asthma. Case two presented with diabetic foot infections and diabetic ketoacidosis. Both patients responded to initial therapy for their primary diseases, but consciousness became worse in both cases. Their test results for impaired consciousness revealed severe hypophosphatemia; therefore, phosphate replacement therapy was administered, thus resulting in complete alertness. These cases demonstrate that we should consider the possibility of hypophosphatemia in critically ill patients with an altered consciousness. |
| Databáze: | OpenAIRE |
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