Acute kidney injury and hypercalcemia associated with veterinary supplements applications in adult man
DOI:
https://doi.org/10.12662/2317-3076jhbs.v12i1.5098.p1-4.2024Keywords:
acute kidney injury, chronic kidney disease, hypercalcemia, nephrolithiasis, veterinary drugsAbstract
The compound “ADE” is an injectable oil for veterinary use which contains large amounts of vitamins A, D and E. The parenteral application in humans leads to a granuloma reaction which triggers hypercalcemia. A 42-year-old man was admitted with lower limb pain, nephrolithiasis and nephrocalcinosis. Laboratory tests revealed creatinine 4.59 mg/dl, calcium 13.3 mg/dl and parathormone 13.8 pg/ml. He underwent an ureterolithotripsy, stent placement, intravenous crystalloid fluids, and corticosteroid. He improved symptoms, kidney function and normalized serum calcium. The “ADE”-induced hypercalcemia diagnosis can be challenging. The early diagnosis may avoid negative outcomes.
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