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Two Cases of Hypophosphatemia with Increased Renal Phosphate Excretion in Legionella Pneumonia

We encountered 2 cases of hypophosphatemia due to Legionella pneumonia. Both cases showed increased urinary phosphate excretion and renal tubular dysfunction, which ameliorated with recovery from Legionella pneumonia. Serum fibroblast growth factor-23 level was suppressed, whereas serum 1,25(OH)(2)...

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Autores principales: Watanabe, Shuhei, Kono, Keiji, Fujii, Hideki, Nakai, Kentaro, Goto, Shunsuke, Nishi, Shinichi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: S. Karger AG 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821156/
https://www.ncbi.nlm.nih.gov/pubmed/27066493
http://dx.doi.org/10.1159/000444875
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author Watanabe, Shuhei
Kono, Keiji
Fujii, Hideki
Nakai, Kentaro
Goto, Shunsuke
Nishi, Shinichi
author_facet Watanabe, Shuhei
Kono, Keiji
Fujii, Hideki
Nakai, Kentaro
Goto, Shunsuke
Nishi, Shinichi
author_sort Watanabe, Shuhei
collection PubMed
description We encountered 2 cases of hypophosphatemia due to Legionella pneumonia. Both cases showed increased urinary phosphate excretion and renal tubular dysfunction, which ameliorated with recovery from Legionella pneumonia. Serum fibroblast growth factor-23 level was suppressed, whereas serum 1,25(OH)(2) vitamin D and parathyroid hormone levels were normal. Delayed elevation of serum 1,25(OH)(2) vitamin D levels was observed with improvement in renal tubular function. These findings suggested hypophosphatemia might be mediated by renal tubular dysfunction.
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spelling pubmed-48211562016-04-08 Two Cases of Hypophosphatemia with Increased Renal Phosphate Excretion in Legionella Pneumonia Watanabe, Shuhei Kono, Keiji Fujii, Hideki Nakai, Kentaro Goto, Shunsuke Nishi, Shinichi Case Rep Nephrol Dial Published online: March, 2016 We encountered 2 cases of hypophosphatemia due to Legionella pneumonia. Both cases showed increased urinary phosphate excretion and renal tubular dysfunction, which ameliorated with recovery from Legionella pneumonia. Serum fibroblast growth factor-23 level was suppressed, whereas serum 1,25(OH)(2) vitamin D and parathyroid hormone levels were normal. Delayed elevation of serum 1,25(OH)(2) vitamin D levels was observed with improvement in renal tubular function. These findings suggested hypophosphatemia might be mediated by renal tubular dysfunction. S. Karger AG 2016-03-18 /pmc/articles/PMC4821156/ /pubmed/27066493 http://dx.doi.org/10.1159/000444875 Text en Copyright © 2016 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc/4.0/ This article is licensed under the Creative Commons Attribution-NonCommercial-4.0 International License (CC BY-NC) (http://www.karger.com/Services/OpenAccessLicense). Usage and distribution for commercial purposes requires written permission.
spellingShingle Published online: March, 2016
Watanabe, Shuhei
Kono, Keiji
Fujii, Hideki
Nakai, Kentaro
Goto, Shunsuke
Nishi, Shinichi
Two Cases of Hypophosphatemia with Increased Renal Phosphate Excretion in Legionella Pneumonia
title Two Cases of Hypophosphatemia with Increased Renal Phosphate Excretion in Legionella Pneumonia
title_full Two Cases of Hypophosphatemia with Increased Renal Phosphate Excretion in Legionella Pneumonia
title_fullStr Two Cases of Hypophosphatemia with Increased Renal Phosphate Excretion in Legionella Pneumonia
title_full_unstemmed Two Cases of Hypophosphatemia with Increased Renal Phosphate Excretion in Legionella Pneumonia
title_short Two Cases of Hypophosphatemia with Increased Renal Phosphate Excretion in Legionella Pneumonia
title_sort two cases of hypophosphatemia with increased renal phosphate excretion in legionella pneumonia
topic Published online: March, 2016
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4821156/
https://www.ncbi.nlm.nih.gov/pubmed/27066493
http://dx.doi.org/10.1159/000444875
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