Hyperkalemic Ascending Paralysis - 09/09/11
Abstract |
Hyperkalemia is a life-threatening electrolyte disturbance. The clinical presentation is most commonly related to its effects on cardiac conductivity and contractility, although weakness and respiratory compromise may occur. We describe what we believe to be the first reported case of life-threatening hyperkalemia presenting as an ascending paralysis which was associated with standard-dose trimethoprim-sulfamethoxazole therapy. The patient had mild, underlying renal disease which predisposed him to develop hyperkalemia. This case underscores the need to use caution in prescribing trimethoprim to such patients.
[McCarty M, Jagoda A, Fairweather P: Hyperkalemic ascending paralysis. Ann Emerg Med July 1998;32:104-107.]
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 | From the Department of Emergency Medicine, Lincoln Medical and Mental Health Center,* and the Department of Emergency Medicine, The Mount Sinai School of Medicine,‡ New York, NY. |
| Reprint no. 47/1/89427 |
 | Address for reprints: Andy Jagoda, MD, Mount Sinai School of Medicine, Department of Emergency Medicine, Post Office Box 1149, New York, NY 10029 |
Vol 32 - N° 1
P. 104-107 - juillet 1998 Retour au numéro
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