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Symptomatic hypocalcemia after sodium phosphate preparation in an adult with asymptomatic hypoparathyroidism
Nicolasine D Niemeijer1, Marno C Rijk, Coen van Guldener
1Department of aInternal Medicine, Amphia Hospital, Breda, The Netherlands.
Abstract:
Sodium phosphate is widely used as a bowel cleansing preparation. Its use is, however, not without risk. It can induce serious adverse effects like hypocalcemia, hyperphosphatemia and renal failure. In this case, a 75-year-old woman without known contraindications developed hypocalcemic tetany, hyperphosphatemia and renal failure after oral sodium phosphate. Asymptomatic hypoparathyroidism owing to previous thyroid surgery was identified as a new contributing risk factor for this complication.
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