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Severe hypercalcemia and polyuria in a near-drowning victim
T Machi1, T Nakazawa, Y Nakamura
1Department of Internal Medicine, Keiju General Hospital, Nanao.
Internal Medicine (Tokyo, Japan)
|September 1, 1995
Summary
Near-drowning in hot springs can cause severe hypercalcemia due to calcium absorption through the lungs. This condition also led to polyuria, likely from impaired kidney function.
Area of Science:
- Nephrology
- Toxicology
- Environmental Medicine
Background:
- Hot springs, while therapeutic, can contain high mineral concentrations.
- Near-drowning incidents require immediate medical attention and monitoring for complications.
Observation:
- A 73-year-old male presented after near-drowning in a hot spring.
- The patient exhibited transient severe hypercalcemia and polyuria.
Findings:
- Hypercalcemia was attributed to acute calcium intoxication from the hot spring water absorbed via alveoli.
- Polyuria during the hypercalcemic phase suggested saline diuresis, potentially due to impaired sodium and water reabsorption.
Implications:
- This is the first reported case of acute hypercalcemia following near-drowning in a hot spring.
- Highlights the potential toxicological risks associated with mineral-rich water immersion.
- Underscores the importance of monitoring electrolyte balance in near-drowning victims exposed to specific environmental factors.