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Fatal Hypocalcaemia Due to Hungry Bone Syndrome with Secondary Refractory HyperParathyroidism after Parathyroidectomy: A Case Report Cover

Fatal Hypocalcaemia Due to Hungry Bone Syndrome with Secondary Refractory HyperParathyroidism after Parathyroidectomy: A Case Report

Open Access
|Nov 2019

Figures & Tables

Fig. 1

99mTc Sestamibi scintigraphy revealed a right inferior parathyroid adenoma indicative of SHPT.
99mTc Sestamibi scintigraphy revealed a right inferior parathyroid adenoma indicative of SHPT.

First admission, preoperative and postoperative day 1 and 2 laboratory data

First admission valuesPreoperative valuesPostoperative values (POD 1)Postoperative values (POD 2)
WBC (vn: 3.6-10 x 103)8.2x1037.1 x 1037.3 x 103-
Haemoglobin (vn:12-17g/dL)14.6 g/dL14 g/dL13.7 g/dL13.5 g/dL
Haematocrit (vn: 36-54 %)43%42%41%38%
Total calcium (nv: 9-10.5 mg/dL)10.9 mg/dL11.6 mg/dL7.3 mg/dL-
Ionic calcium (nv: 3.8-4.8 mg/dL)---2.2 -3.1 mg/dL
Phosphate (nv: 2.7-4.5 mg/dL)4.9 mg/dL5.6 mg/dL5.3 mg/d-
Sodium (nv: 136-145 mmol/L)139 mmol/L141 mmol/L136 mmol/L138 mmol/L
Potassium (nv:3.5-5.1 mmol/L)4.9 mmol/L5.1 mmol/L6.2 mmol/L6.2 mmol/L
Chloride (nv: 98-107mmol/L)104 mmol/L102 mmol/L99 mmol/L-
AlkPhos (nv: 40-150 U/L)364 U/L376 U/L311 U/L-
iPTH (nv: 10-65pg/mL)1198 pg/mL1257 pg/mL47.5 pg/mL-
Creatinine (nv: 0.72-1.25 mg/dL)5.1 mg/dL5.29 mg/dL6.7 mg/dL-
Glucose (nv: 80-115 mg/dL)81 mg/dL89 mg/dL96 mg/dL85 mg/dL
DOI: https://doi.org/10.2478/jccm-2019-0021 | Journal eISSN: 2393-1817 | Journal ISSN: 2393-1809
Language: English
Page range: 140 - 144
Submitted on: Jun 2, 2019
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Accepted on: Sep 9, 2019
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Published on: Nov 27, 2019
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2019 Corina Pop Radu, Valentin Daniealopol, Ario Santini, Ruxandra Darie, Daniela Tatiana Sala, published by University of Medicine, Pharmacy, Science and Technology of Targu Mures
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.