Hypercalcaemia Caused by Sunflower Seeds and Calcium Carbonate Supplements

Introduction: Hypercalcaemia is commonly associated with malignancy or endocrinological disorders. However, sometimes it can occur due to increased oral intake of calcium. We present an interesting case of hypercalcaemia due to ingestion of sunflower seeds and calcium carbonate supplements. Case De...

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Autores principales: Iqra Patoli, Mehrunissa Kazim, Saad Bin Jamil, Syed Hassan Abbas
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Lenguaje:EN
Publicado: SMC MEDIA SRL 2021
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spelling oai:doaj.org-article:d8d4552e99354418839ae8d226e37ce82021-11-09T11:21:26ZHypercalcaemia Caused by Sunflower Seeds and Calcium Carbonate Supplements2284-259410.12890/2021_0002845https://doaj.org/article/d8d4552e99354418839ae8d226e37ce82021-10-01T00:00:00Zhttps://www.ejcrim.com/index.php/EJCRIM/article/view/2845https://doaj.org/toc/2284-2594Introduction: Hypercalcaemia is commonly associated with malignancy or endocrinological disorders. However, sometimes it can occur due to increased oral intake of calcium. We present an interesting case of hypercalcaemia due to ingestion of sunflower seeds and calcium carbonate supplements. Case Description: We present the case of a 53-year-old man with history of T-cell lymphoma and gastroesophageal reflux disease who was brought to the emergency room due to altered mental status, nausea, vomiting and abdominal pain. His calcium level was 3.30 mmol/l (normal value 2.23–2.58 mmol/l). Imaging studies were unremarkable. The patient was hydrated with normal saline and calcium levels improved. Once he was more coherent, he disclosed that he had consumed significant amounts of sunflower seeds and calcium carbonate supplements, which were considered to be the cause of his hypercalcaemia. Conclusion: Hypercalcaemia is common and can lead to critical illness. Although hypercalcaemia is frequently associated with endocrinological disorders, sometimes the presentation is secondary to increased intake. The consumption of sunflower seeds and antacids containing calcium carbonate can cause symptomatic hypercalcaemia. It is important to recognize rare causes of hypercalcaemia in order to treat it in a timely manner and prevent recurrence.Iqra PatoliMehrunissa KazimSaad Bin JamilSyed Hassan AbbasSMC MEDIA SRLarticlehypercalcemiacalcium carbonate supplementssunflower seedsMedicineRENEuropean Journal of Case Reports in Internal Medicine (2021)
institution DOAJ
collection DOAJ
language EN
topic hypercalcemia
calcium carbonate supplements
sunflower seeds
Medicine
R
spellingShingle hypercalcemia
calcium carbonate supplements
sunflower seeds
Medicine
R
Iqra Patoli
Mehrunissa Kazim
Saad Bin Jamil
Syed Hassan Abbas
Hypercalcaemia Caused by Sunflower Seeds and Calcium Carbonate Supplements
description Introduction: Hypercalcaemia is commonly associated with malignancy or endocrinological disorders. However, sometimes it can occur due to increased oral intake of calcium. We present an interesting case of hypercalcaemia due to ingestion of sunflower seeds and calcium carbonate supplements. Case Description: We present the case of a 53-year-old man with history of T-cell lymphoma and gastroesophageal reflux disease who was brought to the emergency room due to altered mental status, nausea, vomiting and abdominal pain. His calcium level was 3.30 mmol/l (normal value 2.23–2.58 mmol/l). Imaging studies were unremarkable. The patient was hydrated with normal saline and calcium levels improved. Once he was more coherent, he disclosed that he had consumed significant amounts of sunflower seeds and calcium carbonate supplements, which were considered to be the cause of his hypercalcaemia. Conclusion: Hypercalcaemia is common and can lead to critical illness. Although hypercalcaemia is frequently associated with endocrinological disorders, sometimes the presentation is secondary to increased intake. The consumption of sunflower seeds and antacids containing calcium carbonate can cause symptomatic hypercalcaemia. It is important to recognize rare causes of hypercalcaemia in order to treat it in a timely manner and prevent recurrence.
format article
author Iqra Patoli
Mehrunissa Kazim
Saad Bin Jamil
Syed Hassan Abbas
author_facet Iqra Patoli
Mehrunissa Kazim
Saad Bin Jamil
Syed Hassan Abbas
author_sort Iqra Patoli
title Hypercalcaemia Caused by Sunflower Seeds and Calcium Carbonate Supplements
title_short Hypercalcaemia Caused by Sunflower Seeds and Calcium Carbonate Supplements
title_full Hypercalcaemia Caused by Sunflower Seeds and Calcium Carbonate Supplements
title_fullStr Hypercalcaemia Caused by Sunflower Seeds and Calcium Carbonate Supplements
title_full_unstemmed Hypercalcaemia Caused by Sunflower Seeds and Calcium Carbonate Supplements
title_sort hypercalcaemia caused by sunflower seeds and calcium carbonate supplements
publisher SMC MEDIA SRL
publishDate 2021
url https://doaj.org/article/d8d4552e99354418839ae8d226e37ce8
work_keys_str_mv AT iqrapatoli hypercalcaemiacausedbysunflowerseedsandcalciumcarbonatesupplements
AT mehrunissakazim hypercalcaemiacausedbysunflowerseedsandcalciumcarbonatesupplements
AT saadbinjamil hypercalcaemiacausedbysunflowerseedsandcalciumcarbonatesupplements
AT syedhassanabbas hypercalcaemiacausedbysunflowerseedsandcalciumcarbonatesupplements
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