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CASE REPORT
Year : 2021  |  Volume : 10  |  Issue : 1  |  Page : 54-57

A rare case of pulmonary tuberculosis-associated hypercalcaemia and pancreatitis


1 Institute of Endocrinology, Diabetes, Thyroid and Osteoporosis Disorders, Sarka World Hospitals, Bengaluru, Karnataka; Department of Medicine and Endocrinology, Saveetha Institute of Medical and Technical Sciences University, Saveetha Medical College, Chennai, Tamil Nadu, India
2 Institute of Digestive and Hepatobiliary Sciences, Institute of Hepatobiliary Sciences, Sakra World Hospital, Bangalore, Karnataka, India
3 Department of Pulmonology and Critical Care, Sarka World Hospitals, Bengaluru, Karnataka, India
4 Department of Radiology, Sarka World Hospitals, Bengaluru, Karnataka, India
5 Institute of Endocrinology, Diabetes, Thyroid and Osteoporosis Disorders, Sarka World Hospitals, Bengaluru, Karnataka, India

Correspondence Address:
C V Harinarayan
Director, Institute of Endocrinology, Diabetes, Thyroid and Osteoporosis Disorders, Sakra World Hospitals, SY No 52/2 and 53/3, Deverabeesanahalli (Opp. Intel, Outer Ring Road), VarathurHobili, Marathahalli, Bengaluru 560 103, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/JCSR.JCSR_79_20

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Hypercalcaemia is commonly seen in the context of parathyroid dysfunction and malignancy. When severe, it can precipitate a life-threatening sequel. The diagnostic evaluation of hypercalcaemia is contributed by several competing aetiologies, multiple co-existing conditions and confounded by polypharmacy. A 60-year-old female was rushed to emergency with severe pain in the abdomen. Her serum calcium level was 3.92 mmol/l. Pancreatitis was confirmed by biochemical and radiological investigations. She was subsequently diagnosed to have smear-positive pulmonary tuberculosis (TB). She was successfully managed with intravenous fluids, diuresis and bisphosphonates and showed good response to anti-TB treatment. This case emphasizes considering pulmonary TB in the list of differential diagnosis for hypercalcaemia.


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