Hypocalcemic coma following two pediatric phosphate enemas

J. F. Sotos, E. A. Cutler, M. A. Finkel, D. Doody

Research output: Contribution to journalArticlepeer-review

54 Scopus citations

Abstract

Coma, tetany, dehydration, hypotension, tachycardia, and hyperpyrexia developed in a 2 1/2-year-old girl following two hypertonic phosphate pediatric enemas. She had marked hyperphosphatemia, hypocalcemia, hypernatremia, and acidosis. Hypocalcemia due to hyperphosphatemia can explain all of these findings. Calculations indicate that about one third of the phosphorus and sodium contents of the enema were absorbed. Physicians should be aware of the potentially lethal complication of this treatment, which is a part of everyday practice.

Original languageEnglish (US)
Pages (from-to)305-307
Number of pages3
JournalPediatrics
Volume60
Issue number3
StatePublished - Dec 1 1977
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health

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