Severe hypocalcemic tetany and respiratory failure in an infant given oral phosphate soda.

Abstract:

:Oral phosphate preparations are used for constipation and bowel preparation in adults but with potential for fatal electrolyte disturbances. Use in children is not recommended due to similar concerns. We report a 7-week-old infant who received an over-the-counter oral phosphate preparation. He developed profound hypocalcemia, hyperphosphatemia, life-threatening tetany, and respiratory failure requiring mechanical ventilation and intravenous calcium gluconate for recovery. Practitioners should be aware of the availability and potential misuse of adult oral phosphate laxative products for children.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Hebbar K,Fortenberry JD,Parks JS

doi

10.1097/01.pec.0000199565.02383.34

subject

Has Abstract

pub_date

2006-02-01 00:00:00

pages

118-20

issue

2

eissn

0749-5161

issn

1535-1815

pii

00006565-200602000-00009

journal_volume

22

pub_type

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