Hyperuricaemia, Hypoparathyroidism and Acute Hypercalcaemia: Unusual Complications in Extrapulmonary Tuberculosis
Published: September 1, 2019 | DOI: https://doi.org/10.7860/JCDR/2019/41664.13112
Ravi Parkash, Surekha Dabla, Neharika Saini, Kiran Bala
1. Junior Resident, Department of Psychiatry, Pandit Bhagwat Dayal Sharma, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
2. Senior Professor, Department of Neurology, Pandit Bhagwat Dayal Sharma, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
3. Junior Resident, Department of Medicine, Pandit Bhagwat Dayal Sharma, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
4. Senior Professor and Head, Department of Neurology, Pandit Bhagwat Dayal Sharma, Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Correspondence
Surekha Dabla,
Pandit Bhagwat Dayal Sharma, Post Graduate Institute of Medical Sciences, 27/9 J, Medical Campus, Rohtak-124001, Haryana, India.
E-mail: surekhadabla@yahoo.co.in
Hypercalcaemia may occur in patients with pulmonary tuberculosis because of abnormal extrarenal production of 1,25-dihydroxy Vitamin D3 by activated macrophages in granulomatous tissues. In Extrapulmonary Tuberculosis, derangements of calcium, Parathyroid levels are usually not seen. Rarely, serum calcium levels are raised with a normal vitamin D levels in background of an adequate sunlight exposure. Here, authors report a case of a patient with tubercular meningitis who presented with hypercalcaemia, hyperuricaemia, and hypoparathyroidism.
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