Hyperkalemic ascending paralysis

Annals of Emergency Medicine
M McCartyP Fairweather

Abstract

Hyperkalemia is a life-threatening electrolyte disturbance. The clinical presentation is most commonly related to its effects on cardiac conductivity and contractility, although weakness and respiratory compromise may occur. We describe what we believe to be the first reported case of life-threatening hyperkalemia presenting as an ascending paralysis which was associated with standard-dose trimethoprim-sulfamethoxazole therapy. The patient had mild, underlying renal disease which predisposed him to develop hyperkalemia. This case underscores the need to use caution in prescribing trimethoprim to such patients.

References

Jul 1, 1975·Anesthesiology·G A Gronert, R A Theye
Jul 1, 1989·Neurology·R T MoxleyR Böhlen
Mar 1, 1982·Reviews of Infectious Diseases·D H Lawson, B J Paice
Apr 1, 1980·Postgraduate Medical Journal·E O Udezue, B P Harrold
Sep 1, 1980·Anaesthesia·G L Barker
Mar 1, 1994·Annals of Internal Medicine·L C PennypackerJ Pitner
Aug 15, 1993·Annals of Internal Medicine·S GreenbergJ G Porush
Aug 15, 1993·Annals of Internal Medicine·H VelázquezD H Ellison
Mar 11, 1993·The New England Journal of Medicine·M J ChoiT R Kleyman
Feb 1, 1993·British Journal of Anaesthesia·S J Freeman, A D Fale
Feb 1, 1996·Annals of Internal Medicine·R AlappanG K Buller
May 1, 1997·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·J VeenstraR A Coutinho

❮ Previous
Next ❯

Citations

Dec 15, 2010·The Neurologist·Kessarin PanichpisalYaacov Anziska
Nov 26, 2009·Neurologic Clinics·Alan H Yee, Alejandro A Rabinstein
Oct 2, 2009·Pharmacotherapy·Nikita S WilsonChristopher K Finch
Jan 18, 2013·Case Reports in Emergency Medicine·Getaw Worku HassenLorraine Maria Giordano
Jun 6, 2013·The Journal of Emergency Medicine·Manish Garg, Nadia Markovchick
Aug 12, 2017·BMJ Case Reports·Filipa Quaresma, Margarida Bentes Jesus
Jul 23, 2020·Minerva medica·Erica MemoliGregorio P Milani

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Conduction System

The cardiac conduction system is a specialized tract of myocardial cells responsible for maintaining normal cardiac rhythm. Discover the latest research on the cardiac conduction system here.

Related Papers

The Ulster Medical Journal
G C BeattieR J Maxwell
Journal of Neurology, Neurosurgery, and Psychiatry
M NaumannC Schneider
Lancet
Eric MauryGeorges Offenstadt
Journal of Neurology, Neurosurgery, and Psychiatry
H ShinotohJ Suzuki
The American Journal of Emergency Medicine
Arif WahabShaista Alvi
© 2022 Meta ULC. All rights reserved