Persistent Hypocalcemia after Thyroidectomy Stabilized with Magnesium

Alvaro Contreras Salazar; Jesús Armando Del Moral Bastida; Hugo Mendieta Zerón

doi:10.29333/ejgm/7883

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Alvaro Contreras Salazar ¹ ^* , Jesús Armando Del Moral Bastida ², Hugo Mendieta Zerón ¹ ²

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¹ Faculty of Medicine, Autonomous University of the State of Mexico (UAEMéx), MEXICO² “Mónica Pretelini Sáenz” Maternal-Perinatal Hospital and Ciprés Grupo Médico (CGM), MEXICO^* Corresponding Author

Abstract

We present the case of a 53-year-old woman who underwent total thyroidectomy as a multinodular goiter treatment, which after surgery presented hypocalcemia that did not reverse with combined therapy of calciotropic hormones and calcium supplementation. The symptomatology remission was reached only after the prescription of magnesium lactate tablets. It is known that hypocalcemia is the main complication of this surgery, however, little is known about hypomagnesemia and its role as a cause and consequence of the imbalance in calcium homeostasis in this kind of patients. The clinical and biochemical evolution of the patient is evaluated, as well as the pathophysiology of hypocalcemia due to magnesium deficiency that involves a large number of processes such as renal, intestinal and bone function.

Keywords

hypocalcemia
hypomagnesemia
thyroidectomy

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This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Article Type: Case Report

ELECTRON J GEN MED, Volume 17, Issue 5, October 2020, Article No: em220

https://doi.org/10.29333/ejgm/7883

Publication date: 05 Apr 2020

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Declaration of Conflict of Interest: No conflict of interest is declared by author(s).

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How to cite this article

Vancouver

Contreras Salazar A, Del Moral Bastida JA, Mendieta Zerón H. Persistent Hypocalcemia after Thyroidectomy Stabilized with Magnesium. ELECTRON J GEN MED. 2020;17(5):em220. https://doi.org/10.29333/ejgm/7883

APA

Contreras Salazar, A., Del Moral Bastida, J. A., & Mendieta Zerón, H. (2020). Persistent Hypocalcemia after Thyroidectomy Stabilized with Magnesium. Electronic Journal of General Medicine, 17(5), em220. https://doi.org/10.29333/ejgm/7883

AMA

Contreras Salazar A, Del Moral Bastida JA, Mendieta Zerón H. Persistent Hypocalcemia after Thyroidectomy Stabilized with Magnesium. ELECTRON J GEN MED. 2020;17(5), em220. https://doi.org/10.29333/ejgm/7883

Chicago

Contreras Salazar, Alvaro, Jesús Armando Del Moral Bastida, and Hugo Mendieta Zerón. "Persistent Hypocalcemia after Thyroidectomy Stabilized with Magnesium". Electronic Journal of General Medicine 2020 17 no. 5 (2020): em220. https://doi.org/10.29333/ejgm/7883

Harvard

Contreras Salazar, A., Del Moral Bastida, J. A., and Mendieta Zerón, H. (2020). Persistent Hypocalcemia after Thyroidectomy Stabilized with Magnesium. Electronic Journal of General Medicine, 17(5), em220. https://doi.org/10.29333/ejgm/7883

MLA

Contreras Salazar, Alvaro et al. "Persistent Hypocalcemia after Thyroidectomy Stabilized with Magnesium". Electronic Journal of General Medicine, vol. 17, no. 5, 2020, em220. https://doi.org/10.29333/ejgm/7883