Abstract
Idiopathic hypoparathyroidism was diagnosed in a 55-year-old patient following rather unusual circumstances: he informed the emergency ward physician attending him for congestive cardiac insufficiency consequent to coronary cardiopathy that on the two preceding occasions when such insufficiency had been relieved by the injection of a diuretic, a tetanic seizure had ensued which was corrected by intravenous administration of calcium. Treatment of the cardiac insufficiency was nonetheless instituted with the mercurial diuretic: tetany appeared a few hours later, subsiding after intravenous injection of calcium. The various possible ways in which a tetanic seizure may be triggered by a mercurial diuretic are discussed.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- BRONSKY D., KUSHNER D. S., DUBIN A., SNAPPER I. [Idiopathic hypoparathyroidism and pseudohypoparathyroidism: case reports and review of the literature]. Medicine (Baltimore) 1958 Dec;37(4):317–352. doi: 10.1097/00005792-195812000-00003. [DOI] [PubMed] [Google Scholar]
- HOLLINGER H. Z., PATTEE C. J. A review of calcium and phosphorus metabolism. II. Hypocalcaemia. Can Med Assoc J. 1957 Jul 1;77(1):45–53. [PMC free article] [PubMed] [Google Scholar]
- SCHULMAN J. L., RATNER H. Idiopathic hypoparathyroidism with bony demineralization and cardiac decompensation. Pediatrics. 1955 Dec;16(6):848–856. [PubMed] [Google Scholar]
- SEITZ H., JAWORSKI Z. F. EFFECT OF HYDROCHLOROTHIAZIDE ON SERUM AND URINARY CALCIUM AND URINARY CITRATE. Can Med Assoc J. 1964 Feb 8;90:414–420. [PMC free article] [PubMed] [Google Scholar]
- SUSSMAN R. M., EDINBURGH A. Chronic idiopathic hypoparathyroidism simulating cardiac asthma. N Engl J Med. 1957 Apr 18;256(16):734–739. doi: 10.1056/NEJM195704182561603. [DOI] [PubMed] [Google Scholar]