Volume : IX, Issue : II, February - 2020
HYPERCALCEMIA: AN UNUSUAL PRESENTATION OF TUBERCULOSIS
Dr. Sadhna Sharma, Dr. Y. V. S. Prabhakar, Dr. K. Murali Mohan Rao, Dr. K. Sanjay, Dr. P Karthik Varma
Abstract :
Tuberculosis (TB), a granulomatous disease, is known to cause hypercalcemia. Hypercalcemia and its manifestations can be the presenting complaints in patients with active TB1. However, the incidence of hypercalcemia in TB patients is rare, with incidence ranging between 2% and 25%, of which very few are symptomatic. A 62 year old presented with symptoms of epigastric and loin pain, intermittent fevers, progressive swelling of both loer limbs, tarry stools, dyspnea, decreased urineoutput and significant weightloss. A chronic smoker and pain killer abuse. Patient was found to have severe anemia due to iron deficiency with blood loss due to esophageal and duodenal ulcers, hypercalcemia, renal insufficiency. There was a suspicion of chronic kidney disease or malignancy. Further evaluation of hypercalcemia, lead us to a diagnosis of active pulmonary TB. Patient improved with aggressive hydration, hemodialysis with packed cell transfusion, parenteral iron, bisphosphonate and anti–tuberculosis therapy.
Keywords :
Hypercalcemia Tuberculosis 1–alpha hydroxylase Renal insufficiency Granulomatous disease.
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DOI : https://www.doi.org/10.36106/paripex
Cite This Article:
HYPERCALCEMIA: AN UNUSUAL PRESENTATION OF TUBERCULOSIS, Dr. Sadhna Sharma, Dr. Y.V.S. Prabhakar, Dr. K. Murali Mohan Rao, Dr. K.Sanjay, Dr. P Karthik Varma PARIPEX-INDIAN JOURNAL OF RESEARCH : Volume-9 | Issue-2 | February-2020
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HYPERCALCEMIA: AN UNUSUAL PRESENTATION OF TUBERCULOSIS, Dr. Sadhna Sharma, Dr. Y.V.S. Prabhakar, Dr. K. Murali Mohan Rao, Dr. K.Sanjay, Dr. P Karthik Varma PARIPEX-INDIAN JOURNAL OF RESEARCH : Volume-9 | Issue-2 | February-2020