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Submission Type

Case Report

Abstract

Introduction: Calcium-alkali syndrome has recently grown in prevalence and now represents an important cause of hypercalcemia-associated morbidity.

Clinical findings: A patient between 50 and 59 years old was admitted to the hospital with severe hypercalcemia, encephalopathy, and acute kidney injury that was secondary to milk-alkali syndrome.

Clinical course: The patient initially received 2 L of intravenous fluids and then was treated with 4 doses of calcitonin, a single dose of zoledronic acid, and continuous intravenous fluids. His hypercalcemia resolved with treatment and after an initial increase in his serum creatinine, his renal function eventually returned to near baseline.

Conclusions: Calcium-alkali syndrome represents 9% to 12% of cases involving hypercalcemia and is an increasingly common cause of hospitalization with severe hypercalcemia.

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