Hypercalcemic crisis as a prodromal feature of Pneumcystis jirovecii pneumonia
We describe a patient who had developed hypercalcemic crisis, with altered mental status and renal failure, one year following aggressive corticosteroid-therapy for lupus nephritis. Her disease relapsed after successful live-related kidney transplantation 11 years ago. She had normal parathyroid hor...
Main Authors: | , |
---|---|
Format: | Article |
Language: | English |
Published: |
Wolters Kluwer Medknow Publications
2018-01-01
|
Series: | Saudi Journal of Kidney Diseases and Transplantation |
Online Access: | http://www.sjkdt.org/article.asp?issn=1319-2442;year=2018;volume=29;issue=4;spage=993;epage=996;aulast=El-Reshaid |
id |
doaj-be5740d7a4cc4947bdc13489b1e73a56 |
---|---|
record_format |
Article |
spelling |
doaj-be5740d7a4cc4947bdc13489b1e73a562020-11-25T00:40:28ZengWolters Kluwer Medknow PublicationsSaudi Journal of Kidney Diseases and Transplantation1319-24422018-01-0129499399610.4103/1319-2442.239630Hypercalcemic crisis as a prodromal feature of Pneumcystis jirovecii pneumoniaKamel El-ReshaidShaikha Al-BaderWe describe a patient who had developed hypercalcemic crisis, with altered mental status and renal failure, one year following aggressive corticosteroid-therapy for lupus nephritis. Her disease relapsed after successful live-related kidney transplantation 11 years ago. She had normal parathyroid hormone and 25-hydroxyvitamin D yet high 1,25 dihydroxyvitamin D. Four weeks later, she developed severe dyspnea and hypoxia with a reticulonodular pattern on chest computed tomography. Bacteriological and serological tests were negative for pathogens. However, bronchoalveolar lavage established the diagnosis of Pneumocystis jiroviceii pneumonia (PJP). Her pneumonia and hypercalcemia improved with Co-trimoxazole. The case indicates that severe hypercalcemia can herald PJP.http://www.sjkdt.org/article.asp?issn=1319-2442;year=2018;volume=29;issue=4;spage=993;epage=996;aulast=El-Reshaid |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Kamel El-Reshaid Shaikha Al-Bader |
spellingShingle |
Kamel El-Reshaid Shaikha Al-Bader Hypercalcemic crisis as a prodromal feature of Pneumcystis jirovecii pneumonia Saudi Journal of Kidney Diseases and Transplantation |
author_facet |
Kamel El-Reshaid Shaikha Al-Bader |
author_sort |
Kamel El-Reshaid |
title |
Hypercalcemic crisis as a prodromal feature of Pneumcystis jirovecii pneumonia |
title_short |
Hypercalcemic crisis as a prodromal feature of Pneumcystis jirovecii pneumonia |
title_full |
Hypercalcemic crisis as a prodromal feature of Pneumcystis jirovecii pneumonia |
title_fullStr |
Hypercalcemic crisis as a prodromal feature of Pneumcystis jirovecii pneumonia |
title_full_unstemmed |
Hypercalcemic crisis as a prodromal feature of Pneumcystis jirovecii pneumonia |
title_sort |
hypercalcemic crisis as a prodromal feature of pneumcystis jirovecii pneumonia |
publisher |
Wolters Kluwer Medknow Publications |
series |
Saudi Journal of Kidney Diseases and Transplantation |
issn |
1319-2442 |
publishDate |
2018-01-01 |
description |
We describe a patient who had developed hypercalcemic crisis, with altered mental status and renal failure, one year following aggressive corticosteroid-therapy for lupus nephritis. Her disease relapsed after successful live-related kidney transplantation 11 years ago. She had normal parathyroid hormone and 25-hydroxyvitamin D yet high 1,25 dihydroxyvitamin D. Four weeks later, she developed severe dyspnea and hypoxia with a reticulonodular pattern on chest computed tomography. Bacteriological and serological tests were negative for pathogens. However, bronchoalveolar lavage established the diagnosis of Pneumocystis jiroviceii pneumonia (PJP). Her pneumonia and hypercalcemia improved with Co-trimoxazole. The case indicates that severe hypercalcemia can herald PJP. |
url |
http://www.sjkdt.org/article.asp?issn=1319-2442;year=2018;volume=29;issue=4;spage=993;epage=996;aulast=El-Reshaid |
work_keys_str_mv |
AT kamelelreshaid hypercalcemiccrisisasaprodromalfeatureofpneumcystisjiroveciipneumonia AT shaikhaalbader hypercalcemiccrisisasaprodromalfeatureofpneumcystisjiroveciipneumonia |
_version_ |
1725289860353228800 |