Severe hypercalcemia due to drowning in an onsen (hot spring)
Hypercalcemia is generally caused by primary hyperparathyroidism, malignancies, and drugs. Herein, we report a case of severe hypercalcemia due to drowning in hot springs. A 55-year-old woman was found floating in a public bath at a hotel and was admitted to a nearby hospital. The patient was intuba...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2023-01-01
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| Series: | Journal of Emergencies, Trauma and Shock |
| Subjects: | |
| Online Access: | http://www.onlinejets.org/article.asp?issn=0974-2700;year=2023;volume=16;issue=2;spage=63;epage=65;aulast=Ueno |
| _version_ | 1797773890100920320 |
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| author | Daisuke Ueno Yasukazu Shiino Jiro Takahashi Takahiro Inoue |
| author_facet | Daisuke Ueno Yasukazu Shiino Jiro Takahashi Takahiro Inoue |
| author_sort | Daisuke Ueno |
| collection | DOAJ |
| description | Hypercalcemia is generally caused by primary hyperparathyroidism, malignancies, and drugs. Herein, we report a case of severe hypercalcemia due to drowning in hot springs. A 55-year-old woman was found floating in a public bath at a hotel and was admitted to a nearby hospital. The patient was intubated because of hypoxia and shock, and noradrenaline was titrated. Computed tomography revealed bilateral aspiration pneumonia. Blood tests revealed hypercalcemia (serum total calcium [Ca]: 18.7 mg/dL). Hyperparathyroidism, malignancy, and drug-related factors were ruled out as the causes of hypercalcemia. In addition, the public bath in which the patient drowned contained high concentrations of Ca. We concluded that the reason for hypercalcemia was accidental ingestion of the hot spring water containing a high concentration of Ca through the gastrointestinal tract. In the case of drowning and hypercalcemia, the cause may be clarified by examining the components that were accidentally swallowed. |
| first_indexed | 2024-03-12T22:12:19Z |
| format | Article |
| id | doaj.art-73ebfbb90096489b8bd19ad107d5b58c |
| institution | Directory Open Access Journal |
| issn | 0974-2700 |
| language | English |
| last_indexed | 2024-03-12T22:12:19Z |
| publishDate | 2023-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Emergencies, Trauma and Shock |
| spelling | doaj.art-73ebfbb90096489b8bd19ad107d5b58c2023-07-23T11:30:29ZengWolters Kluwer Medknow PublicationsJournal of Emergencies, Trauma and Shock0974-27002023-01-01162636510.4103/jets.jets_78_22Severe hypercalcemia due to drowning in an onsen (hot spring)Daisuke UenoYasukazu ShiinoJiro TakahashiTakahiro InoueHypercalcemia is generally caused by primary hyperparathyroidism, malignancies, and drugs. Herein, we report a case of severe hypercalcemia due to drowning in hot springs. A 55-year-old woman was found floating in a public bath at a hotel and was admitted to a nearby hospital. The patient was intubated because of hypoxia and shock, and noradrenaline was titrated. Computed tomography revealed bilateral aspiration pneumonia. Blood tests revealed hypercalcemia (serum total calcium [Ca]: 18.7 mg/dL). Hyperparathyroidism, malignancy, and drug-related factors were ruled out as the causes of hypercalcemia. In addition, the public bath in which the patient drowned contained high concentrations of Ca. We concluded that the reason for hypercalcemia was accidental ingestion of the hot spring water containing a high concentration of Ca through the gastrointestinal tract. In the case of drowning and hypercalcemia, the cause may be clarified by examining the components that were accidentally swallowed.http://www.onlinejets.org/article.asp?issn=0974-2700;year=2023;volume=16;issue=2;spage=63;epage=65;aulast=Uenoaccidental ingestionaspiration pneumoniadrowninghot springhypercalcemia |
| spellingShingle | Daisuke Ueno Yasukazu Shiino Jiro Takahashi Takahiro Inoue Severe hypercalcemia due to drowning in an onsen (hot spring) Journal of Emergencies, Trauma and Shock accidental ingestion aspiration pneumonia drowning hot spring hypercalcemia |
| title | Severe hypercalcemia due to drowning in an onsen (hot spring) |
| title_full | Severe hypercalcemia due to drowning in an onsen (hot spring) |
| title_fullStr | Severe hypercalcemia due to drowning in an onsen (hot spring) |
| title_full_unstemmed | Severe hypercalcemia due to drowning in an onsen (hot spring) |
| title_short | Severe hypercalcemia due to drowning in an onsen (hot spring) |
| title_sort | severe hypercalcemia due to drowning in an onsen hot spring |
| topic | accidental ingestion aspiration pneumonia drowning hot spring hypercalcemia |
| url | http://www.onlinejets.org/article.asp?issn=0974-2700;year=2023;volume=16;issue=2;spage=63;epage=65;aulast=Ueno |
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