Hyperacute Fatal Course in a Hypercalcemic Crisis

Introduction

Case Summary

A 39-year-old woman with no significant medical history presented to the Emergency Department with nausea, vomiting, constipation, and muscle cramps. Despite initial management for suspected hyperemesis gravidarum, further tests revealed dangerously high calcium levels (21.1 mg/dL) and increased parathyroid hormone (PTH) levels (>3000 pg/mL). Unfortunately, before appropriate treatment could be initiated, the patient succumbed to complications.

Key Findings:

  • Severe hypercalcemia (>21 mg/dL)
  • Elevated PTH levels and presence of a parathyroid nodule
  • Histological evidence of nephrocalcinosis and parathyroid adenoma
  • Fatal cardiac and renal consequences due to delayed diagnosis

Clinical Implications

Strategic Link Placement

Call-to-Action

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