乳児における高カルシウム血症誘発性尿崩症を伴う粟粒結核
Md Tousifullah1, Anuj Rastogi2
1Paediatrics, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India.
BMJ case reports
|December 31, 2025
まとめ
乳児粟粒結核(TB)は、重度の高カルシウム血症を引き起こす可能性があり、まれですが重篤な状態です。迅速な認識とコルチコステロイドおよびその他の治療法を含む多峰性治療アプローチは、この緊急事態の管理に不可欠です。
科学分野:
- 小児科
- 感染症
- 内分泌学
背景:
- 粟粒結核(TB)は、乳児における重篤でまれな病態です。
- 高カルシウム血症は、成人ではまれではありませんが、小児TBではまれにしか報告されていません。
- 高カルシウム血症は、尿崩症などの合併症を引き起こす可能性があります。
主な方法:
- 結核性リンパ節炎と粟粒結核の女性乳児の症例報告。
- 臨床症状には、多尿、多飲、体重減少が含まれていました。
- 診断的ワークアップにより、高カルシウム血症、副甲状腺ホルモンの抑制、ビタミンDレベルの上昇、および希釈された多尿が明らかになりました。
結論:
- 小児粟粒結核における高カルシウム血症は、まれですが、生命を脅かす可能性のある緊急事態です。
- 良好な転帰のためには、迅速な診断と包括的な治療戦略が不可欠です。
- この症例は、TBを有する乳児における高カルシウム血症の認識と管理における注意の必要性を強調しています。
さらに関連する動画
09:40Isolation, Characterization, And High Throughput Extracellular Flux Analysis of Mouse Primary Renal Tubular Epithelial Cells
Published on: June 20, 2018
18.4K
10:31Comparative Proteomic Analysis of Whole Kidney, Medulla, and Cortical Tubules in Diabetic Pathogenesis of Kidney Injury in Mice
Published on: May 2, 2025
576
関連する概念動画
Pathophysiology of Diabetes
3.1K
Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
Type 1 diabetes is characterized by autoimmune-mediated destruction of pancreatic β cells, with environmental factors potentially triggering this process in genetically susceptible individuals. Despite many not having a family history, certain genes increase susceptibility,...
3.1K
Renal Tubule and Collecting Duct
3.0K
The renal tubule is divided into three parts: the proximal convoluted tubule (PCT), the Loop of Henle (LOH), and the distal convoluted tubule (DCT).
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
3.0K
Pulmonary Tuberculosis III
884
Tuberculosis (TB) is a contagious infection primarily affecting the lung parenchyma but which can also affect other body parts. TB can be classified based on disease development, presentation, and the affected anatomical site.
The first classification is based on the development of the disease, and it includes the following categories:
The first classification is based on the development of the disease, and it includes the following categories:
884
Inborn Errors of Metabolism
679
Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
679
Glucose Transporters
27.1K
Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
Facilitated diffusion-glucose transporters (GLUTs) are encoded by the solute-linked carrier (SLC) family 2, subfamily A gene family, or SLC2A. The 14 GLUT protein members are distributed into three classes:
27.1K
Urinary Tract Calculi I: Introduction
375
Renal calculi, or kidney stones, are solid deposits of minerals and salts formed inside the kidneys. In medical terminology, "calculus" refers to the stone itself, while "lithiasis" describes the process of stone formation. Depending on their location within the urinary system, these stones may be classified as either urolithiasis, when situated within the urinary tract, or nephrolithiasis, when located within the kidneys. Each term signifies the specific impact of the stone.Predisposition...
375
