Skip to main content
SpringerLink
Log in

Hypercalcaemia in a child with miliary tuberculosis

  • Infectious Diseases
  • Original Papers
  • Published:
European Journal of Pediatrics Aims and scope Submit manuscript

Abstract

Hypercalcaemia and hypercalciuria were diagnosed in a 21-week-old boy with miliary tuberculosis. The tuberculosis was treated with isoniazid, rifampin and streptomycin. After 2 months, streptomycin was replaced by ethambutol. The hypercalcaemia was treated initially with prednisone, which decreased the serum 1,25 (OH)2 cholecalciferol level but the serum calcium level remained unaltered. After calcium and vitamin D restriction, the serum calcium level normalized within 1 day. The patient's tuberculosis was treated and he remains well.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bell NH, Shary J, Shaw S, Turner R (1985) Hypercalcemia associated with increased circulating 1,25 dihydroxyvitamin D in a patient with pulmonary tuberculosis. Calcif Tissue Int 37:588–591

    Google Scholar 

  2. Coe F (1984) Treatment of hypercalciuria. N Engl J Med 311:116–117

    Google Scholar 

  3. Fox J, Ross R, Care AD (1985) Effects of acute and chronic treatment with glucocorticoids on the intestinal absorption of calcium and phosphate and on plasma 1,25 dihydroxyvitamin D levels in pigs. Clin Sci 69:553–559

    Google Scholar 

  4. Gkonos PJ, London R, Hendler ED (1984) Hypercalcemia and elevated 1,25-dihydroxyvitamin D levels in a patient with end stage renal disease and active tuberculosis. N Engl J Med 311:1683–1685

    Google Scholar 

  5. Isaacs RD, Nicholson GI, Holdaway IM (1987) Miliary tuberculosis with hypercalcaemia and raised vitamin D concentrations. Thorax 42:555–556

    Google Scholar 

  6. Johnson NM, Shneerson G (1980) Hypercalcaemia and hypercalciuria associated with pulmonary tuberculosis. Br J Dis Chest 74: 201–202

    Google Scholar 

  7. Kitrou MP, Phytou Pallikari A, Tzannes SE, Virvidakis K, Mountokalakis T (1983) Serum calcium during chemotherapy for active tuberculosis. Eur J Respir Dis 64:347–354

    Google Scholar 

  8. Kruse K (1987) Endocrine control and disturbances of calcium and phosphate metabolism in children. Eur J Pediatr 1987:146: 346–353

    Google Scholar 

  9. Shai L, Baker RK, Addrizo JR, Wallach T (1972) Hypercalcemia in Mycobacterial infection. J Clin Endocrinol 34:251–256

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Paediatrics, Division of Paediatric Pulmonology, University Hospital Groningen, Oostersingel 59, 9713 EZ, Groningen, The Netherlands

    J. Gerritsen & K. Knol

Authors
  1. J. Gerritsen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. K. Knol
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Gerritsen, J., Knol, K. Hypercalcaemia in a child with miliary tuberculosis. Eur J Pediatr 148, 650–651 (1989). https://doi.org/10.1007/BF00441524

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00441524

Key words

Search

Navigation