Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report
Yıl: 2020 Cilt: 26 Sayı: 4 Sayfa Aralığı: 250 - 253 Metin Dili: İngilizce DOI: 10.5222/GKDAD.2020.49092 İndeks Tarihi: 23-06-2021
Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report
Öz: Severe hypophosphatemia is a rare electrolyte disturbance among surgical patients associatedwith severe fatigue, impaired cardiac and respiratory functions. Although mild hypophosphatemiais common after parenteral administration of intravenous iron replacement, severehypophosphatemia is not usual in perioperative period. We present a case of 76-year-old femalewho underwent surgery for a left paramediastinal mass. Laboratory examination showedhypochromic microcytic anemia. A total dose of parenteral 1000 mg ferric carboxymaltose wasadministered two days prior to the operation with the aim of achieving a rapid increase inhemoglobin. We performed a wedge resection for the mass originating from the left upper lobe.The patient developed dyspnea and fatigue with severe hypophosphatemia on postoperativethird day. The clinical status of the patient could be only improved with parenteral administrationof high dose of sodium phosphate. We tried to emphasize this unexpected complication ofintravenous iron replacement and the features of its management.
Anahtar Kelime: Pulmoner Rezeksiyon Sonrası İntravenöz Demir Replasmanı Nedeniyle Gelişen, Yaşamı Tehdit Eden Hipofosfatemi, Olgu Raporu
Öz: Şiddetli hipofosfatemi, cerrahi hastalar arasında ender görülen; ciddi yorgunluk, bozulmuş kalp ve solunum fonksiyonları ile ilişkili bir elektrolit bozukluğudur. İntravenöz demir replasmanı sonra hafif hipofosfatemi görülmekle birlikte, ciddi hipofosfatemi beklenmemektedir. Bu makalede, sol paramediastinal kitle nedeniyle ameliyat edilen 76 yaşında bir kadın olgu sunuldu. Laboratuvar incelemesinde hipokromik mikrositik anemi saptandı. Aneminin düzeltilmesi amacıyla ameliyattan 2 gün önce 1.000 mg parenteral 1.000 mg ferrik karboksimaltoz uygulandı. Sol üst lobdan çıkan kitle için wedge rezeksiyon uyguladık. Ameliyat sonrası üçüncü günde hastada şiddetli hipofosfatemi ile birlikte yorgunluk, nefes darlığı ve hipoksi gelişti. Hastanın kliniği ancak yüksek doz parenteral fosfor replasmanı ile düzeltilebildi. İntravenöz demir replasmanının bu beklenmedik komplikasyonunu ve yönetiminin özelliklerini vurgulamaya çalıştık.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Olgu Sunumu Erişim Türü: Erişime Açık
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| APA | Erdoğdu E, Amirov F, Ozkan B, KARA M, Turhan O, Sungur Z (2020). Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report. , 250 - 253. 10.5222/GKDAD.2020.49092 |
| Chicago | Erdoğdu Eren,Amirov Fahmin,Ozkan Berker,KARA MURAT,Turhan Ozlem,Sungur Zerrin Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report. (2020): 250 - 253. 10.5222/GKDAD.2020.49092 |
| MLA | Erdoğdu Eren,Amirov Fahmin,Ozkan Berker,KARA MURAT,Turhan Ozlem,Sungur Zerrin Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report. , 2020, ss.250 - 253. 10.5222/GKDAD.2020.49092 |
| AMA | Erdoğdu E,Amirov F,Ozkan B,KARA M,Turhan O,Sungur Z Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report. . 2020; 250 - 253. 10.5222/GKDAD.2020.49092 |
| Vancouver | Erdoğdu E,Amirov F,Ozkan B,KARA M,Turhan O,Sungur Z Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report. . 2020; 250 - 253. 10.5222/GKDAD.2020.49092 |
| IEEE | Erdoğdu E,Amirov F,Ozkan B,KARA M,Turhan O,Sungur Z "Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report." , ss.250 - 253, 2020. 10.5222/GKDAD.2020.49092 |
| ISNAD | Erdoğdu, Eren vd. "Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report". (2020), 250-253. https://doi.org/10.5222/GKDAD.2020.49092 |
| APA | Erdoğdu E, Amirov F, Ozkan B, KARA M, Turhan O, Sungur Z (2020). Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, 26(4), 250 - 253. 10.5222/GKDAD.2020.49092 |
| Chicago | Erdoğdu Eren,Amirov Fahmin,Ozkan Berker,KARA MURAT,Turhan Ozlem,Sungur Zerrin Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi 26, no.4 (2020): 250 - 253. 10.5222/GKDAD.2020.49092 |
| MLA | Erdoğdu Eren,Amirov Fahmin,Ozkan Berker,KARA MURAT,Turhan Ozlem,Sungur Zerrin Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, vol.26, no.4, 2020, ss.250 - 253. 10.5222/GKDAD.2020.49092 |
| AMA | Erdoğdu E,Amirov F,Ozkan B,KARA M,Turhan O,Sungur Z Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2020; 26(4): 250 - 253. 10.5222/GKDAD.2020.49092 |
| Vancouver | Erdoğdu E,Amirov F,Ozkan B,KARA M,Turhan O,Sungur Z Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report. Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi. 2020; 26(4): 250 - 253. 10.5222/GKDAD.2020.49092 |
| IEEE | Erdoğdu E,Amirov F,Ozkan B,KARA M,Turhan O,Sungur Z "Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report." Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi, 26, ss.250 - 253, 2020. 10.5222/GKDAD.2020.49092 |
| ISNAD | Erdoğdu, Eren vd. "Life Threatening Rapid Onset of Hypophosphatemia Developed due to Intravenous Iron Replacement Following Pulmonary Resection; A Case Report". Göğüs Kalp Damar Anestezi ve Yoğun Bakım Derneği Dergisi 26/4 (2020), 250-253. https://doi.org/10.5222/GKDAD.2020.49092 |
