Life-threatening Consequence of a Psychiatric Behavior
Introduction: The prevalence of hypokalemia in psychiatric population is very high with eating disorders and laxative abuse being the main incriminated factors. Case presentation: We report a case of a 34-year-old woman with history of sleeve gastrectomy and breast implant, who presented for fatigue...
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| Format: | Article |
| Language: | English |
| Published: |
Media Med Publicis
2019-06-01
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| Series: | Modern Medicine |
| Online Access: | https://medicinamoderna.ro/wp-content/uploads/2019/06/RMM_art-7-1.pdf |
| _version_ | 1819138976466862080 |
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| author | Mirela Tiglis Andreea Livia Dumitrescu Cristina Bologa Tudor Hurmuzache Alexandru Emil Baetu Tiberiu Paul Neagu Bogdan Socea Ioan Lascar Ioana Marina Grintescu |
| author_facet | Mirela Tiglis Andreea Livia Dumitrescu Cristina Bologa Tudor Hurmuzache Alexandru Emil Baetu Tiberiu Paul Neagu Bogdan Socea Ioan Lascar Ioana Marina Grintescu |
| author_sort | Mirela Tiglis |
| collection | DOAJ |
| description | Introduction: The prevalence of hypokalemia in psychiatric population is very high with eating disorders and laxative abuse being the main incriminated factors. Case presentation: We report a case of a 34-year-old woman with history of sleeve gastrectomy and breast implant, who presented for fatigue, severe myalgia, generalized hypotonia and palpitations. Laboratory exams revealed severe hypokalemia and rhabdomyolysis. The electrocardiography showed prolonged QT interval and ST segment depression with second-degree atrioventricular block. She received intravenous potassium supplementation with consecutive hydration. When potassium level was within safety limits, the patients received loop diuretics in order to decrease rhabdomyolysis and avoid kidney injury. The underlying cause was a pathological behavior, with frequent self-provoked episodes of nausea and vomiting after eating and chronic consumption of laxatives. She started psychotherapy. Conclusion: Psychiatric behaviour can lead to life-threatening conditions, therefore it should be discovered and managed promptly. |
| first_indexed | 2024-12-22T11:15:19Z |
| format | Article |
| id | doaj.art-8597ab72ff41400183eab833fc3579c4 |
| institution | Directory Open Access Journal |
| issn | 1223-0472 2360-2473 |
| language | English |
| last_indexed | 2024-12-22T11:15:19Z |
| publishDate | 2019-06-01 |
| publisher | Media Med Publicis |
| record_format | Article |
| series | Modern Medicine |
| spelling | doaj.art-8597ab72ff41400183eab833fc3579c42022-12-21T18:28:03ZengMedia Med PublicisModern Medicine1223-04722360-24732019-06-012628184https://doi.org/10.31689/rmm.2019.26.2.81Life-threatening Consequence of a Psychiatric BehaviorMirela Tiglis0Andreea Livia Dumitrescu1Cristina Bologa2Tudor Hurmuzache3Alexandru Emil Baetu4Tiberiu Paul Neagu5Bogdan Socea6Ioan Lascar7Ioana Marina Grintescu8Department of Anesthesiology and Intensive Care, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Anesthesiology and Intensive Care, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Anesthesiology and Intensive Care, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Anesthesiology and Intensive Care, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Anesthesiology and Intensive Care, Emergency Clinical Hospital, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, „Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Surgery, „Sf. Pantelimon” Emergency Clinical Hospital, „Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Plastic Surgery and Reconstructive Microsurgery, Emergency Clinical Hospital, „Carol Davila” University of Medicine and Pharmacy, Bucharest, RomaniaDepartment of Anesthesiology and Intensive Care, Emergency Clinical Hospital, Bucharest, RomaniaIntroduction: The prevalence of hypokalemia in psychiatric population is very high with eating disorders and laxative abuse being the main incriminated factors. Case presentation: We report a case of a 34-year-old woman with history of sleeve gastrectomy and breast implant, who presented for fatigue, severe myalgia, generalized hypotonia and palpitations. Laboratory exams revealed severe hypokalemia and rhabdomyolysis. The electrocardiography showed prolonged QT interval and ST segment depression with second-degree atrioventricular block. She received intravenous potassium supplementation with consecutive hydration. When potassium level was within safety limits, the patients received loop diuretics in order to decrease rhabdomyolysis and avoid kidney injury. The underlying cause was a pathological behavior, with frequent self-provoked episodes of nausea and vomiting after eating and chronic consumption of laxatives. She started psychotherapy. Conclusion: Psychiatric behaviour can lead to life-threatening conditions, therefore it should be discovered and managed promptly.https://medicinamoderna.ro/wp-content/uploads/2019/06/RMM_art-7-1.pdf |
| spellingShingle | Mirela Tiglis Andreea Livia Dumitrescu Cristina Bologa Tudor Hurmuzache Alexandru Emil Baetu Tiberiu Paul Neagu Bogdan Socea Ioan Lascar Ioana Marina Grintescu Life-threatening Consequence of a Psychiatric Behavior Modern Medicine |
| title | Life-threatening Consequence of a Psychiatric Behavior |
| title_full | Life-threatening Consequence of a Psychiatric Behavior |
| title_fullStr | Life-threatening Consequence of a Psychiatric Behavior |
| title_full_unstemmed | Life-threatening Consequence of a Psychiatric Behavior |
| title_short | Life-threatening Consequence of a Psychiatric Behavior |
| title_sort | life threatening consequence of a psychiatric behavior |
| url | https://medicinamoderna.ro/wp-content/uploads/2019/06/RMM_art-7-1.pdf |
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