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Multiple Dyselectrolytemia in a Chronic Alcohol Abuser: A Case Report
Dakshin Meenashi Sundaram1, Vijaya Prakash Madesh1, Donthireddy Rambrahma Reddy1
1Internal Medicine, Employees' State Insurance Corporation (ESIC) Medical College and Post Graduate Institute of Medical Science and Research (PGIMSR), Chennai, IND.
Alcohol-dependent patients can experience severe electrolyte imbalances. This case highlights alcohol-induced tubular injury causing significant hyponatremia, hypokalemia, and other derangements, complicating patient management.
Area of Science:
- Nephrology
- Endocrinology
- Internal Medicine
Background:
- Alcohol dependence is frequently associated with electrolyte disturbances.
- Patients with comorbidities like diabetes mellitus and seizure disorders may have complex metabolic presentations.
Observation:
- A patient with alcoholism, diabetes, and seizure disorder presented with seizures and vomiting after binge alcohol consumption.
- Initial evaluation revealed severe metabolic derangements including hyponatremia, hypokalemia, hypomagnesemia, hypocalcemia, hypochloremia, hypophosphatemia, hyperglycemia, and metabolic alkalosis.
Findings:
- Urinary analysis indicated significant urinary loss of electrolytes.
- Alcohol-induced tubular injury was identified as a potential cause for these electrolyte abnormalities.
Implications:
- This case underscores the diagnostic challenge of complex electrolyte imbalances in alcohol-dependent patients.
- It emphasizes the need to consider alcohol-induced tubular injury in emergency room presentations with severe metabolic derangements.
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