A Rare Presentation of Cystic Bronchiectasis with Acute Renal Failure and Electrolyte Imbalance

Abstract

Department of Internal Medicine, Faculty of Medicine, Giresun University, Giresun, Türkiye A 62-year-old female patient with a history of cystic bronchiectasis was brought to the emergency department with complaints of weakness, nausea, and shortness of breath. The patient was hospitalized at the internal medicine service for the accompanying acute renal failure, hypocalcemia, hypokalemia, and hypomagnesemia. The patient was started on oral active vitamin D therapy. Intravenous calcium treatment was given to the patient with a corrected calcium value of 6.4 mg/dl. In addition, intravenous potassium and intravenous magnesium replacement were performed. The patient’s fluid intake and output were monitored to prevent fluid overload. The creatinine value of the patient decreased to the normal limits after five days of treatment. The patient, who had no electrolyte imbalance and whose complaints regressed, was discharged on the 8th day of hospitalization with recommendations. Clinicians should be careful about the potential risk of accompanying renal failure and electrolyte imbalance in patients with cystic bronchiectasis.

Keywords

• bronchiectasis
• creatinine
• acute renal failure
• hypocalcemia; hypokalemia; hypomagnesemia

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