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Case Reports
Refractory Hypotension Caused by Selenium Deficiency in a Patient on Peritoneal Dialysis.
- Akihiro Ryuge, Hangsoo Kim, Yasuhiro Suzuki, Masaki Okazaki, Hiroshi Kojima, Shoji Saito, Noritoshi Kato, Takuji Ishimoto, Tomoki Kosugi, Shoichi Maruyama, and Masashi Mizuno.
- Department of Nephrology, Nagoya University Graduate School of Medicine, Japan.
- Intern. Med. 2021 Aug 1; 60 (15): 2461-2464.
AbstractSelenium is essential for human health; its deficiency leads to cardiac dysfunction. We herein report a 79-year-old man on peritoneal dialysis who presented with refractory hypotension caused by selenium deficiency. He was admitted to our hospital with bacterial pneumonia and hypotension and abnormal electrocardiogram (ECG) findings. Despite improvement of pneumonia, his hypotension continued, and intravenous noradrenalin could not be discontinued. His serum selenium level was extremely low, and he was started on intravenous selenium. His hypotension and ECG findings gradually improved, and noradrenalin was discontinued. Physicians should consider selenium deficiency when patients on peritoneal dialysis show refractory hypotension.
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