Paroxysmal paralytic attacks secondary to excessive cola consumption

Area of Science:

• Endocrinology
• Nephrology
• Internal Medicine

Background:

• Excessive cola consumption is linked to obesity, diabetes, and dental issues.
• Few studies document the association between cola intake and hypokalemia.
• Hypokalemia can manifest as muscle weakness and neurological symptoms.

Observation:

• A patient presented with recurrent episodes of lower extremity weakness and falls.
• Extensive investigations ruled out common causes of hypokalemia.
• The patient's symptoms and electrolyte levels improved upon reducing cola intake.

Findings:

• The diagnosis of cola-induced hypokalemia was confirmed through clinical presentation and response to dietary modification.
• This case underscores the link between high cola intake and electrolyte disturbances.
• Ruling out other etiologies was crucial for identifying this rare condition.

Implications:

• Highlights the need for detailed dietary history in patients with unexplained hypokalemia.
• Emphasizes considering uncommon causes for recurrent neurological symptoms.
• Suggests cola consumption as a potential reversible cause of hypokalemia.