1965•New England Journal of MedicineRequires access

Potassium-Depletion Syndrome Secondary to Nephropathy Apparently Caused by Outdated Tetracycline

Milford Fulop, Arnold Drapkin

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Abstract

A SYNDROME of temporary renal dysfunction apparently caused by ingestion of deteriorated tetracycline has been reported in 6 patients during the past year and a half.1 2 3 4 5§ Glycosuria, aminoaciduria and phosphaturia were prominent, and proteinuria occurred in all the patients. Acidosis was common, and nitrogen retention and hypokalemia were sometimes observed.In the 2 cases presented below, potassium depletion was a remarkable feature of the illness. Serial renal biopsies were performed in 1 patient.Case ReportsCase 1. V.K. (B.M.H.C. 202371), the 22-year-old sister-in-law of a physician, was hospitalized on November 13, 1962, complaining of severe weakness and lethargy of 10 . . .

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A SYNDROME of temporary renal dysfunction apparently caused by ingestion of deteriorated tetracycline has been reported in 6 patients during the past year and a half.1 2 3 4 5§ Glycosuria, aminoaciduria and phosphaturia were prominent, and proteinuria occurred in all the patients. Acidosis was common, and nitrogen retention and hypokalemia were sometimes observed.In the 2 cases presented below, potassium depletion was a remarkable feature of the illness. Serial renal biopsies were performed in 1 patient.Case ReportsCase 1. V.K. (B.M.H.C. 202371), the 22-year-old sister-in-law of a physician, was hospitalized on November 13, 1962, complaining of severe weakness and lethargy of 10 . . .

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Available abstract

A SYNDROME of temporary renal dysfunction apparently caused by ingestion of deteriorated tetracycline has been reported in 6 patients during the past year and a half.1 2 3 4 5§ Glycosuria, aminoaciduria and phosphaturia were prominent, and proteinuria occurred in all the patients. Acidosis was common, and nitrogen retention and hypokalemia were sometimes observed.In the 2 cases presented below, potassium depletion was a remarkable feature of the illness. Serial renal biopsies were performed in 1 patient.Case ReportsCase 1. V.K. (B.M.H.C. 202371), the 22-year-old sister-in-law of a physician, was hospitalized on November 13, 1962, complaining of severe weakness and lethargy of 10 . . .

Key concepts: Glycosuria, Medicine, Hypokalemia, Lethargy, Fanconi syndrome, Proteinuria, Aminoaciduria, Hyperkalemia

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