A rare case of pulmonary tuberculosis-associated hypercalcaemia and pancreatitis

Autor: C V Harinarayan, Kini Dinesh, Sachin Kumar, H J Vijay, Anisha Tandon, E Shanthi Sree
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: Journal of Clinical and Scientific Research, Vol 10, Iss 1, Pp 54-57 (2021)
Druh dokumentu: article
ISSN: 2277-5706
2277-8357
DOI: 10.4103/JCSR.JCSR_79_20
Popis: Hypercalcaemia is commonly seen in the context of parathyroid dysfunction and malignancy. When severe, it can precipitate a life-threatening sequel. The diagnostic evaluation of hypercalcaemia is contributed by several competing aetiologies, multiple co-existing conditions and confounded by polypharmacy. A 60-year-old female was rushed to emergency with severe pain in the abdomen. Her serum calcium level was 3.92 mmol/l. Pancreatitis was confirmed by biochemical and radiological investigations. She was subsequently diagnosed to have smear-positive pulmonary tuberculosis (TB). She was successfully managed with intravenous fluids, diuresis and bisphosphonates and showed good response to anti-TB treatment. This case emphasizes considering pulmonary TB in the list of differential diagnosis for hypercalcaemia.
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