IJCM  Vol.4 No.10 , October 2013
Acute and Severe Hypercalcemia in a Near-Drowning Victim
Abstract: An 80-year-old male was admitted to our hospital because of near-drowning in a hot spring. Besides hypoxia, serum calcium was extremely high at 15.5 mg/dL on admission. After the treatment with normal saline infusion, furosemide and calcitonin, the hypercalcemia was transient and didn’t recur during the course. The hot spring water contained much calcium, so his hypercalcemia was considered to be a result of calcium absorption mainly through the alveoli. In this case, we revealed that serum calcium rose within a short time after drowning, suggesting the necessity to measure the calcium concentration of the drowning fluid in a near-drowning victim.
Cite this paper: T. Takata, A. Nakaoka, K. Kato, T. Fukui, S. Maeta, C. Munemura and Y. Murawaki, "Acute and Severe Hypercalcemia in a Near-Drowning Victim," International Journal of Clinical Medicine, Vol. 4 No. 10, 2013, pp. 417-420. doi: 10.4236/ijcm.2013.410075.

[1]   Y. Yagil, R. Stalnikowicz, J. Michaeli and P. Mogle, “Near-Drowning in the Dead Sea,” Archives of Internal Medicine, Vol. 145, No. 1, 1985, pp. 50-53.

[2]   J. H. Modell, “Drowning and Near-Drowning,” In: A. S. Fouci and E. Braunwald, Eds., Principles of Internal Medicine, McGraw-Hill, Inc., New York, 1998, pp. 2555-2557.

[3]   D. Szpilman, J. J. M. L. Bierens, A. J. Handley and J. P. Orlowski, “Drowning,” New England Journal of Medicine, Vol. 366, No. 22, 2012, pp. 2102-2110.

[4]   “Drowning,” Lancet, Vol. 292, No. 7565, 1968, pp. 441-442.

[5]   R. E. Fromm, “Hypercalcemia Complicating an Industrial Near-Drowning,” Annals of Emergency Medicine, Vol. 20, No. 6. 1991, pp. 669-671.

[6]   T. Machi, T. Nakazawa, Y. Nakamura, K. Okeie, Y. Horita, H. Hirai, H. Miyamori, Y. Saito and S. Kitagawa, “Severe Hypercalcemia and Polyuria in a Near-Drowning Victim,” Internal Medicine, Vol. 34, No. 9, 1995, pp. 868-871.

[7]   R. Ziegler, “Hypercalcemic Crisis,” Journal of the American Society of Nephrology, Vol. 12, 2001, pp. S3-S9.

[8]   M. J. Smogorzewski, R. K. Rude and A. S. L. Yu, “Disorders of Calcium, Magnesium, and Phosphate Balance,” In: B. M. Brenner, Ed., The Kidney, Saunders Inc., 2007, p. 697.

[9]   B. I. Medarov, “Milk-Alkali Syndrome,” Mayo Clinic Proceedings, Vol. 84, No. 3, 2009, pp. 261-267.

[10]   J. H. Modell, M. Gaub, F. Moya, B. Vestal, H. Swarz, “Physiologic Effects of Near Drowning with Chlorinated Fresh Water, Distilled Water and Isotonic Saline,” Anestheology, Vol. 27, No. 1, 1966, pp. 33-41.

[11]   M. Oehmichen, R. Hennig and C. Meissner, “Near-Drowning and Clinical Laboratory Changes,” Legal Medicine, Vol. 10, No. 1, 2008, pp. 1-5.

[12]   A. Porath, M. Mosseri, I. Harman, I. Ovsyshcher and A. Keynan, “Dead Sea Water Poisoning,” Annals of Emergency Medicine, Vol. 18, No. 2, 1989, pp. 187-191.

[13]   A. F. Stewart, “Hypercalcemia Associated with Cancer,” New England Journal of Medicine, Vol. 352, No. 4, 2005, pp. 373-379.