Hypermagnesemia in critically ill patients with cancer: A case report

Krupesh,Vijay Raju; Varayathu,Hrishi; Sarathy,Vinu; Rao,Gogana Prabhakar; Shrestha,Yogendra; Naik,Radheshyam

doi:10.3892/mco.2021.2285

June-2021 Volume 14 Issue 6

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June-2021 Volume 14 Issue 6

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Case Report Open Access

Hypermagnesemia in critically ill patients with cancer: A case report

Authors:
- Vijay Raju Krupesh
- Hrishi Varayathu
- Vinu Sarathy
- Gogana Prabhakar Rao
- Yogendra Shrestha
- Radheshyam Naik
View Affiliations / Copyright

Affiliations: Healthcare Global Enterprises Limited, Sampangi Ram Nagar, Bangalore 560027, India

Copyright: © Krupesh et al. This is an open access article distributed under the terms of Creative Commons Attribution License.
Article Number: 123
|
Published online on: April 21, 2021

https://doi.org/10.3892/mco.2021.2285
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Abstract

Hypermagnesemia is often an under reported finding in critically ill patients with cancer. Hypomagnesemia is a commonly encountered electrolyte abnormality in patients with cancer that is primarily caused by a reduced intake, secondary to chemotherapeutic drugs and malnutrition. Hypermagnesemia is rarely observed in patients with normal renal function, as excess intake can be compensated by renal excretion. However, in critically ill patients with reduced renal function, hypermagnesemia can add further to complications and increase mortality. Drugs such as lactulose, antacids, fentanyl and peptide hormones, including vasopressin, can further increase chances of hypermagnesemia, particularly when patients demonstrate decreased renal function and multiple organ failure. Prudence and caution must therefore be exercised while using these agents in critically ill patients with cancer to avoid increased complications and mortality. Herein, the current study reports three cases of critically ill patients with cancer admitted into intensive care who had refractory hypermagnesemia.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Hypermagnesemia in critically ill patients with cancer: A case report

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