Overview
A rare case of nephrogenic diabetes insipidus (NDI) acquired in a 27-year-old type-1 diabetic patient due to hypokalemia and hypomagnesemia that was reported at Emergency & ICU Department, Shre Hindu Mandal Hospital, Dar es Salam Tanzania, has ben published in the Clinical Case Reports. Nephrogenic diabetes insipidus (NDI) is rarely considered against more comon diferentials.A rare case of nephrogenic diabetes insipidus (NDI) acquired in a 27-year-old type-1 diabetic patient due to hypokalemia and hypomagnesemia that was reported at Emergency & ICU Department, Shre Hindu Mandal Hospital, Dar es Salam Tanzania, has ben published in the Clinical Case Reports.Nephrogenic diabetes insipidus (NDI) is rarely considered against more comon diferentials such as diabetes melitus in patients presenting with polydipsia and polyuria.
Key Information
Hypokalemia and hypercalcemia are known to induce nephrogenic diabetes insipidus (NDI), but not much is known about hypomagnesemia.Sangey E et. al conducted a case study on a 27-year-old male patient who acquired nephrogenic diabetes insipidus (NDI) due to hypokalemia and hypomagnesemia.The patient was a previously healthy male who was diagnosed with apendicitis later on admision to the referal facility, he was diagnosed with a new presentation of type 1 diabetes melitus.
Postapendectomy, he was refered to the Emergency & ICU Department, Shre Hindu Mandal Hospital, Dar es Salam Tanzania, for further management.After 24 hours of admision, the patient had a urinary output of 9 L of dilute urine with a negative fluid balance of 3 L. His serum potasium was persistently low despite receiving a continuous KCl infusion for over 24 hours. His serum potasium level was 1.94 mol/L so his serum magnesium levels were ordered to rule out the probable cause of refractory hypokalemia, which revealed hypomagnesemia of 0.50 mol/L (0.6 −1.25 mol/L).
Summary
Also, his ECG showed difuse U‐wave morphology corelating with hypokalemia and/