A Patient with Hypercalcaemia

Abstract

A 55 year old man was admitted to the Accident & Emergency Department in May 1998 with a 3-day history of tiredness malaise and nausea. He had developed a urinary and upper respiratory infections a few days earlier and his general practitioner treated with a course of Ciprofloxin. Over the next 3 days, his condition deteriorated with gastrointestinal symptoms and unsteadiness. He was taken to the hospital following a fall and on admission his blood urea and creatinine were noted to be 49mmolJL and 800 µmolIL respectively. A CPK 4l9mmol, calcium 3.47mmol and bicarbonate 31 mmol were also noted, GT 28, WBC count of 14.4 and an ESR lO5mxnoI were also noted. Dipstick urine showed +3 blood and +3 proteins and +2 WBC with no casts or crystals He was normoglycacmic. A radiograph of the chest was unremarkable and a brain CT scan excluded a focal neurological lesion. His urine output remained stable at around 1500 mis a day.