Symptomatic Hypermagnesemia in Normal Kidney Function with a Colonic Cleansing Agent / 대한내과학회지
Korean Journal of Medicine
; : 306-310, 2016.
Article
em Ko
| WPRIM
| ID: wpr-20327
Biblioteca responsável:
WPRO
ABSTRACT
Most reported cases of hypermagnesemia are related to laxative abuse and impaired renal function, while hypermagnesemia is uncommon without iatrogenic magnesium administration and decreased renal function. Magnesium-containing bowel-cleansing agents are widely used before colonoscopy, usually without complications. However, we experienced a case of symptomatic hypermagnesemia with normal renal function after using a bowel-cleansing agent. A 74-year-old man with normal renal function complained of lethargy and motor weakness after taking a bowel-cleansing agent containing 14 grams of magnesium before a colonoscopy for hematochezia. His magnesium level was 12 mg/dL. Fluid stasis in the gut due to colonic obstruction might have caused the hypermagnesemia. He was treated successfully with a bowel enema and intravenous calcium. We should be cautious when prescribing drugs for colonoscopy if colonic obstruction is suspected.
Palavras-chave
Texto completo:
1
Índice:
WPRIM
Assunto principal:
Catárticos
/
Cálcio
/
Colonoscopia
/
Colo
/
Detergentes
/
Enema
/
Letargia
/
Hemorragia Gastrointestinal
/
Rim
/
Magnésio
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Humans
Idioma:
Ko
Revista:
Korean Journal of Medicine
Ano de publicação:
2016
Tipo de documento:
Article