Pruitt B, Onarecker C, Coniglione T
J Okla State Med Assoc. 1995 Dec;88(12):518-20.
Hypercalcemia occurs in 16% to 28% of patients with pulmonary tuberculosis. Rarely, however, does the calcium rise to a level that requires emergency management. In this report, a 49-year-old woman undergoing treatment for pulmonary tuberculosis presented with vomiting and weakness secondary to severe hypercalcemia. Although the pathophysiology of hypercalcemia in this setting is not completely understood, the management is similar to hypercalcemic crisis from other causes. Physicians must maintain a high index of suspicion since prompt recognition and therapy will ensure a successful outcome.
16%至28%的肺结核患者会出现高钙血症。然而，钙水平很少会升高到需要紧急处理的程度。在本报告中，一名正在接受肺结核治疗的49岁女性因严重高钙血症出现呕吐和虚弱症状。尽管这种情况下高钙血症的病理生理学尚未完全明确，但治疗方法与其他原因引起的高钙血症危象相似。医生必须保持高度的怀疑指数，因为及时识别和治疗将确保取得成功的结果。
