Severa ipocalcemia conseguente all’assunzione orale di citrato in un paziente in emodialisi cronica

Marco Gallo; Stefano Aterini; Sandro Bandini; Franco Bergesio; Anna Maria Ciciani; Lorenzo Aterini; Francesca Calderini; Fiamma Balboni

doi:10.33393/gcnd.2021.2322

Authors

Marco Gallo S.O. Nefrologia e Dialisi - Istituto Fiorentino di Cura e Assistenza (IFCA) - Firenze https://orcid.org/0000-0002-6791-0872
Stefano Aterini S.O. Nefrologia e Dialisi - Istituto Fiorentino di Cura e Assistenza (IFCA) - Firenze https://orcid.org/0000-0003-3394-6567
Sandro Bandini S.O. Nefrologia e Dialisi - Istituto Fiorentino di Cura e Assistenza (IFCA) - Firenze https://orcid.org/0000-0003-3421-0893
Franco Bergesio S.O. Nefrologia e Dialisi - Istituto Fiorentino di Cura e Assistenza (IFCA) - Firenze
Anna Maria Ciciani S.O. Nefrologia e Dialisi - Istituto Fiorentino di Cura e Assistenza (IFCA) - Firenze https://orcid.org/0000-0003-0770-4580
Lorenzo Aterini S.O. Nefrologia e Dialisi - Istituto Fiorentino di Cura e Assistenza (IFCA) - Firenze https://orcid.org/0000-0002-0924-3450
Francesca Calderini Laboratorio Analisi - Istituto Fiorentino di Cura e Assistenza (IFCA) - Firenze https://orcid.org/0000-0002-7620-4451
Fiamma Balboni Laboratorio Analisi - Istituto Fiorentino di Cura e Assistenza (IFCA) - Firenze https://orcid.org/0000-0001-8158-5976

DOI:

https://doi.org/10.33393/gcnd.2021.2322

Keywords:

Hemodialysis, Hypocalcaemia, Oral Citrate, Parapharmaceuticals, Vascular access failure

Abstract

We report a case of an 81-year-old man with end stage renal disease (ESRD) in chronic hemodialysis with severe hypocalcaemia secondary to the intake of a parapharmaceutical containing sodium and potassium citrate and in association with poor dialysis efficiency, due to malfunction of the vascular access, which promptly resolved after discontinuation of the supplement. The patient never showed signs or symptoms of hypocalcaemia. This case highlightens the importance of a correct pharmacological reconciliation in dialysis patients in order to avoid the onset of adverse events due to the uncontrolled intake of drugs or parapharmaceuticals.

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