Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report

BACKGROUND: Hyperkalaemic paralysis due to renal failure is a rare but potentially life threatening event. CASE PRESENTATION: We present a patient who had sudden onset ascending flaccid paralysis. The EMS first diagnosis was acute ST-elevation myocardial infarction based on an EKG. In the emergency...

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Autores principales: Jayawardena, Suriya, Burzyantseva, Olga, Shetty, Sanjay, Niranjan, Selvanayagam, Khanna, Ashoke
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2008
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576186/
https://www.ncbi.nlm.nih.gov/pubmed/18845006
http://dx.doi.org/10.1186/1757-1626-1-232
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author Jayawardena, Suriya
Burzyantseva, Olga
Shetty, Sanjay
Niranjan, Selvanayagam
Khanna, Ashoke
author_facet Jayawardena, Suriya
Burzyantseva, Olga
Shetty, Sanjay
Niranjan, Selvanayagam
Khanna, Ashoke
author_sort Jayawardena, Suriya
collection PubMed
description BACKGROUND: Hyperkalaemic paralysis due to renal failure is a rare but potentially life threatening event. CASE PRESENTATION: We present a patient who had sudden onset ascending flaccid paralysis. The EMS first diagnosis was acute ST-elevation myocardial infarction based on an EKG. In the emergency room (ER) due to careful history taking, serum electrolytes and repeat EKG a correct diagnosis was made and both hyperkalemia and paralysis were treated on time. CONCLUSION: Hyperkalaemic paralysis is rare. One must keep it in the back of the mind especially in the case of renal failure patients to avoid misdiagnosing a rapidly fatal but yet completely reversible condition.
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spelling pubmed-25761862008-10-31 Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report Jayawardena, Suriya Burzyantseva, Olga Shetty, Sanjay Niranjan, Selvanayagam Khanna, Ashoke Cases J Case Report BACKGROUND: Hyperkalaemic paralysis due to renal failure is a rare but potentially life threatening event. CASE PRESENTATION: We present a patient who had sudden onset ascending flaccid paralysis. The EMS first diagnosis was acute ST-elevation myocardial infarction based on an EKG. In the emergency room (ER) due to careful history taking, serum electrolytes and repeat EKG a correct diagnosis was made and both hyperkalemia and paralysis were treated on time. CONCLUSION: Hyperkalaemic paralysis is rare. One must keep it in the back of the mind especially in the case of renal failure patients to avoid misdiagnosing a rapidly fatal but yet completely reversible condition. BioMed Central 2008-10-10 /pmc/articles/PMC2576186/ /pubmed/18845006 http://dx.doi.org/10.1186/1757-1626-1-232 Text en Copyright © 2008 Jayawardena et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( (http://creativecommons.org/licenses/by/2.0) ), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Jayawardena, Suriya
Burzyantseva, Olga
Shetty, Sanjay
Niranjan, Selvanayagam
Khanna, Ashoke
Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report
title Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report
title_full Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report
title_fullStr Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report
title_full_unstemmed Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report
title_short Hyperkalaemic paralysis presenting as ST-elevation myocardial infarction: a case report
title_sort hyperkalaemic paralysis presenting as st-elevation myocardial infarction: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2576186/
https://www.ncbi.nlm.nih.gov/pubmed/18845006
http://dx.doi.org/10.1186/1757-1626-1-232
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AT niranjanselvanayagam hyperkalaemicparalysispresentingasstelevationmyocardialinfarctionacasereport
AT khannaashoke hyperkalaemicparalysispresentingasstelevationmyocardialinfarctionacasereport

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