Hypermagnesemia Induced by Massive Cathartic Ingestion in an Elderly Woman without Pre-existing Renal Dysfunction

  • KONTANI Makoto
    Department of Cardiology, Tsuruga Municipal Hospital
  • HARA Akinori
    Department of Internal Medicine (Currently affiliated with Department of Cancer Gene Therapy, Kanazawa University, Graduate School of Medical Science and Department of Internal Medicine, Kanazawa)
  • OHTA Shinji
    Department of Surgery, Tsuruga Municipal Hospital
  • IKEDA Takayuki
    Department of Cardiology, Tsuruga Municipal Hospital

書誌事項

公開日
2005
資源種別
journal article
DOI
  • 10.2169/internalmedicine.44.448
公開者
一般社団法人 日本内科学会

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説明

A 76-year-old woman was referred to our hospital for unresponsiveness and hypotension. She had developed constipation that had led to ileus and had received 34 g of magnesium citrate (Magcolol P®) orally the day before. She was lethargic, her blood pressure was less than 50 mmHg, and electrocardiogram (ECG) revealed sinus arrest with junctional escape rhythm. Her serum concentration of magnesium (Mg) was markedly elevated (16.6 mg/dl =13.7 mEq/l). Emergency colonoscopy revealed ischemic colitis. As her condition ameliorated, her renal function returned to normal. Hence, the present case suggests that severe hypermagnesemia can occur in the absence of pre-existing renal dysfunction in elderly patients with gastrointestinal diseases.

収録刊行物

  • Internal Medicine

    Internal Medicine 44 (5), 448-452, 2005

    一般社団法人 日本内科学会

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