Hypocalcemic coma following two pediatric phosphate enemas

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

Research output: Contribution to journalArticlepeer-review

55 Scopus citations


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
Issue number3
StatePublished - Dec 1 1977
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Pediatrics, Perinatology, and Child Health


Dive into the research topics of 'Hypocalcemic coma following two pediatric phosphate enemas'. Together they form a unique fingerprint.

Cite this