Vancomycin-induced hypokalemia: A proof-of-concept case report.

Candida Driemeyer, José A T Poloni, Luiza M T Ulysséa, Alessandro C Pasqualotto
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引用次数: 5

Abstract

Background: Vancomycin is used on a large scale in medical practice, mostly for the treatment of serious gram-positive bacterial infection. Many adverse effects have been linked to vancomycin use with nephrotoxicity being one of its most prevalent side effects.

Case report: We present the case of an 81 years-old woman who had sustained vancomycin-induced hypokalemia while treating an infected surgical wound. She was under chronic use of losartan for high blood pressure but she was not diabetic. Potassium in serum reached critically low levels during the use of this antibiotic - despite intravenous reposition - and returned to normal right after the drug was stopped, in two different occasions. Elevated urinary potassium levels indicated renal potassium wasting, though serum creatinine levels remained within the normal range throughout hospitalization.

Conclusions: Vancomycin must be considered as a possible cause for hypokalemia of unknown etiology and physicians should be aware of this potential severe adverse effect.

万古霉素引起的低钾血症:一个概念验证病例报告。
背景:万古霉素在医疗实践中被大量使用,主要用于治疗严重的革兰氏阳性细菌感染。许多不良反应与万古霉素的使用有关,肾毒性是其最普遍的副作用之一。病例报告:我们提出的情况下,81岁的妇女谁持续万古霉素引起的低钾血症,而治疗感染的外科伤口。她长期使用氯沙坦治疗高血压,但她没有糖尿病。在两种不同的情况下,在使用这种抗生素期间,血清钾达到了极低的水平,在停药后立即恢复正常。尿钾水平升高表明肾脏钾消耗,尽管在整个住院期间血清肌酐水平保持在正常范围内。结论:万古霉素必须被认为是病因不明的低钾血症的可能原因,医生应该意识到这种潜在的严重不良反应。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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