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Case Reports
. 2021 Apr 7;13(4):e14338.
doi: 10.7759/cureus.14338.

Prolonged Seizure Activity Followed by Severe Hyperphosphatemia and Hypocalcemia in a Pediatric Patient

Megan B Coriell  1 , Andrew T Van Hersh  2 , Siddharth Shah  3
Affiliations
Case Reports

Prolonged Seizure Activity Followed by Severe Hyperphosphatemia and Hypocalcemia in a Pediatric Patient

Megan B Coriell et al. Cureus. .

Abstract

Seizures secondary to hypocalcemia have been well documented and studied. There are various causes of hypocalcemia described in the literature, but a prolonged seizure episode leading to cell lysis, severe hyperphosphatemia, and hypocalcemia is rarely reported. We present the case of a 3-year-old male with severe hyperphosphatemia and hypocalcemia secondary to the likely presence of cell lysis from prolonged seizure activity. Our case illustrates the importance of a thorough evaluation of the possible differentials of hypocalcemia and hyperphosphatemia in a challenging presentation.

Keywords: cell lysis; electrolyte abnormality; hyperphosphatemia; hypocalcemia; pediatric; prolonged seizure; rhabdomyolysis; seizure; seizure activity.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Serum Phosphorous and Calcium Trends During the First 24 Hours of Admission
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