Hypocalcemic coma following two pediatric phosphate enemas.

Abstract:

:Coma, tetany, dehydration, hypotension, tachycardia, and hyperpyrexia developed in a 2 1/2-year-old girl following two hypertonic phosphate pediatric enemas. She had marked hyperphosphatemia, hypocalcemia, hypernatremia, and acidosis. Hypocalcemia due to hyperphosphatemia can explain all of these findings. Calculations indicate that about one third of the phosphorus and sodium contents of the enema were absorbed. Physicians should be aware of the potentially lethal complication of this treatment, which is part of everyday practice.

journal_name

Pediatrics

journal_title

Pediatrics

authors

Sotos JF,Cutler EA,Finkel MA,Doody D

subject

Has Abstract

pub_date

1977-09-01 00:00:00

pages

305-7

issue

3

eissn

0031-4005

issn

1098-4275

journal_volume

60

pub_type

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