Rhabdomyolysis and severe biphasic disturbance of calcium homeostasis secondary to COVID-19 infection.
We report a case of severe hypercalcaemia secondary to rhabdomyolysis in a woman with COVID-19 (SARS CoV-2) infection. The patient presented with myalgia and anuria with an acute kidney injury requiring haemodialysis. Creatine kinase peaked at 760 000 IU/L. A biphasic calcaemic response was observed with initial severe hypocalcaemia followed by severe, symptomatic hypercalcaemia, persistent despite haemodialysis. Control of the calcium levels was achieved by continuous haemofiltration.
['Li|Adrian Po Zhu|APZ|', 'Thomas|Stephen|S|', 'Gokmen|Refik|R|', 'Kariyawasam|Dulmini|D|']
D058186:Acute Kidney Injury D000086382:COVID-19 D002118:Calcium D005260:Female D006706:Homeostasis D006801:Humans D012206:Rhabdomyolysis D000086402:SARS-CoV-2
acute renal failure adult intensive care calcium and bone endocrine system renal system