Severe tetany due to phosphate enemas use, case report

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dc.contributor.authorNúñez, María
dc.contributor.authorLeighton, Sofía
dc.contributor.authorDíaz, Franco
dc.date.accessioned2018-01-22T18:50:15Z
dc.date.available2018-01-22T18:50:15Z
dc.date.issued2017
dc.description.abstractBackground: Phosphate enemas are frequently used in the treatment of constipation. Errors in dosage and administration can lead to severe complications. Objective: To report a case of severe toxicity of phosphate enemas in a child with no risk factors. Case: 2 years old female, with functional constipation, was brought to emergency department because abdominal pain. She was diagnosed with fecal impaction and received half a bottle of Fleet Adult® (Laboratorio Synthon, Chile) two times, with no clinical resolution, deciding to start proctoclisis in pediatric ward. Soon after admission, she presented painful tetany, but alert and oriented. Patient was transferred to PICU where severe hyperphosphatemia and secondary hypocalcemia were confirmed. Her treatment included electrolyte correction; removal of residual phosphate enema and hyperhydration. Tetany resolved over 2 hours after admission and no other complications. Proctoclisis was performed and patient was discharged three days after admission with pharmacological management of constipation. Conclusion: Phosphate enemas may cause serious complications in children with no risk factors. Errors in dosage, administration and removal of the enema are causes of toxicity in this group. Pediatricians and health personnel must be aware of risks and signs of toxicity of phosphate enema.
dc.description.versionVersión Publicada
dc.format.extent5
dc.identifier.citationNúñez Sánchez, María José, Leighton Swaneck, Sofía & Díaz, Franco. (2017). Tetania secundaria a toxicidad por enema de fosfato, reporte de caso. Revista chilena de pediatría , 88 (3), 383-387. https://dx.doi.org/10.4067/S0370-41062017000300011
dc.identifier.urihttp://hdl.handle.net/11447/1954
dc.identifier.urihttp://dx.doi.org/10.4067/S0370-41062017000300011
dc.language.isoen_US
dc.publisherSociedad Chilena de Pediatría
dc.sourceRevista Chilena de Pediatría
dc.subjectPhosphate enema
dc.subjectconstipation
dc.subjecttetany
dc.subjecthyperphosphemia
dc.subjecthypocalcemia
dc.titleSevere tetany due to phosphate enemas use, case report
dc.title.alternativeTetania severa por uso de enemas fosfatados, reporte de caso
dc.typeArtículo

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