Circulatory collapse caused by unnoticed hypermagnesemia in a hospitalized patient.

Abstract:

:We report a case of hypermagnesemia in a hospitalized patient after prolonged laxative use; due to preexisting impaired consciousness and digestive problems, the hypermagnesemia was difficult to detect until it almost became fatal. A 64-year-old man who was a patient at another hospital for treatment of head injury and gastric ulcer had developed circulatory collapse and was transferred to our hospital. Hypermagnesemia (serum magnesium concentration 11.0 mg.dl(-1)) was thought to be the cause of the circulatory collapse and treatments were successful. A magnesium laxative had been administered for more than a month at the previous hospital, but the patient's serum magnesium level was never measured. Care should be taken when a magnesium laxative is administered to patients who already have impaired consciousness and digestive problems that are early symptoms of hypermagnesemia.

journal_name

J Anesth

journal_title

Journal of anesthesia

authors

So M,Ito H,Sobue K,Tsuda T,Katsuya H

doi

10.1007/s00540-006-0492-8

subject

Has Abstract

pub_date

2007-01-01 00:00:00

pages

273-6

issue

2

eissn

0913-8668

issn

1438-8359

journal_volume

21

pub_type

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