Endocrine Practice
Cola-induced hypokalemia-a case report and review of the literature.
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Abstrakcyjny
OBJECTIVE
We aim to describe an unusual and underappreciated cause for hypokalemia.
METHODS
We describe a patient diagnosed with cola-induced hypokalemia and review the literature.
RESULTS
Ingestion of massive amounts of cola can lead to severe hypokalemia through several pathophysiologic mechanisms. These perturbations include osmotic diarrhea, osmotic diuresis, and hyperinsulinemia secondary to hyperglycemia with resultant intracellular to cellular shifts in potassium. These effects are magnified by concomitant high levels of caffeine.
CONCLUSIONS
Ingestion of large quantities of cola should be added to differential diagnosis for severe hypokalemia.
