RESUMO
We present a case of a 40-year-old woman with a history of ongoing anorexia nervosa and bulimia nervosa who has required multiple admissions to hospital for management of acute kidney injury (AKI) and electrolyte derangement. This case is of interest as recent studies have highlighted the significant prevalence of disordered eating and the major public health implications this may have. We discuss the unusual finding of hypercalcaemia in this case and address the investigation and management of AKI and electrolyte disturbance in a patient with anorexia and bulimia.
Assuntos
Injúria Renal Aguda/diagnóstico , Anorexia Nervosa/diagnóstico , Bulimia Nervosa/diagnóstico , Desequilíbrio Hidroeletrolítico/diagnóstico , Injúria Renal Aguda/etiologia , Adulto , Anorexia Nervosa/complicações , Bulimia Nervosa/complicações , Diagnóstico Diferencial , Feminino , Humanos , Hipercalcemia/diagnóstico , Hipercalcemia/etiologia , Hiperparatireoidismo/diagnóstico , Hipertireoidismo/diagnóstico , Hipoalbuminemia/diagnóstico , Hipoalbuminemia/etiologia , Hipopotassemia/diagnóstico , Hipopotassemia/etiologia , Mieloma Múltiplo/diagnóstico , Síndromes Paraneoplásicas/diagnóstico , Sarcoidose/diagnóstico , Desequilíbrio Hidroeletrolítico/etiologia , Zinco/deficiênciaRESUMO
The authors report on a case of Listeria rhomboencepahlitis in a previously undiagnosed HIV positive man. This case is of interest as the incidence of Listeria has increased dramatically in recent years and so may increase in the HIV-infected population. The organism is inherently resistant to cephalosporin antibiotics, empirically employed in the treatment of central nervous system infections and thus highlights the need to include amoxicillin in meningitis treatment regimes in patients at risk of HIV infection as well as the older and those known to be immuno-compromised.