Details

Autor(en) / Beteiligte

• Ryuge, Akihiro
• Kim, Hangsoo
• Suzuki, Yasuhiro
• Okazaki, Masaki
• Kojima, Hiroshi
• Saito, Shoji
• Kato, Noritoshi
• Ishimoto, Takuji
• Kosugi, Tomoki
• Maruyama, Shoichi
• Mizuno, Masashi

Titel

Refractory Hypotension Caused by Selenium Deficiency in a Patient on Peritoneal Dialysis

Ist Teil von

• Internal Medicine, 2021/08/01, Vol.60(15), pp.2461-2464

Ort / Verlag

Japan: The Japanese Society of Internal Medicine

Erscheinungsjahr

2021

Link zum Volltext

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• Selenium is essential for human health; its deficiency leads to cardiac dysfunction. We herein report a 79-year-old man on peritoneal dialysis who presented with refractory hypotension caused by selenium deficiency. He was admitted to our hospital with bacterial pneumonia and hypotension and abnormal electrocardiogram (ECG) findings. Despite improvement of pneumonia, his hypotension continued, and intravenous noradrenalin could not be discontinued. His serum selenium level was extremely low, and he was started on intravenous selenium. His hypotension and ECG findings gradually improved, and noradrenalin was discontinued. Physicians should consider selenium deficiency when patients on peritoneal dialysis show refractory hypotension.