{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T06:44:51Z","timestamp":1781505891385,"version":"3.54.1"},"reference-count":17,"publisher":"S. Karger AG","issue":"1","license":[{"start":{"date-parts":[[2021,2,25]],"date-time":"2021-02-25T00:00:00Z","timestamp":1614211200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2021,2,25]],"date-time":"2021-02-25T00:00:00Z","timestamp":1614211200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Case Rep Nephrol Dial"],"abstract":"<jats:p>Hyperkalemia is a life-threatening condition potentially leading to cardiac arrest. Here, we report a case of surprising severe hyperkalemia of 10.2 mmol\/L in a diabetic patient with previously normal kidney function presenting without discernible clinical symptoms to our emergency department. The patient was admitted because of hyperglycemia of 32.8 mmol\/L, which was detected during daily testing in her nursing home. The hyperkalemia was caused by prerenal failure due to hyperglycemic polyuria which led to volume depletion, and worsened by a combination of potassium-sparing drugs and potassium supplementation. The patient was treated conservatively. Eighteen hours later, the serum potassium concentration was 4.6 mmol\/L. The patient could be released 6 days later. To our knowledge, this is the highest described hyperkalemia treated conservatively and survived without cardiopulmonary resuscitation. <\/jats:p>","DOI":"10.1159\/000512590","type":"journal-article","created":{"date-parts":[[2021,3,23]],"date-time":"2021-03-23T16:19:11Z","timestamp":1616516351000},"page":"69-77","source":"Crossref","is-referenced-by-count":4,"title":["Surprising Hyperkalemia of 10.2 mmol\/L in a Patient with Hyperglycemia: A Case Report"],"prefix":"10.1159","volume":"11","author":[{"given":"Jan","family":"Czogalla","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pischtaz\u00a0Adel","family":"Tariparast","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tobias\u00a0B.","family":"Huber","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Janneck","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florian","family":"Grahammer","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"127","published-online":{"date-parts":[[2021,2,25]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.5935\/1678-9741.20140074"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1007\/s10557-018-6783-0"},{"key":"ref3","doi-asserted-by":"publisher","DOI":"10.1038\/s41430-018-0154-6"},{"key":"ref4","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-010-1699-3"},{"key":"ref5","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-84-4-426"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1038\/ki.1990.200"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.cd003235.pub2"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1093\/ndt\/gfs375"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.7453\/gahmj.2013.008"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1111\/ijcp.13421"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.5152\/eajem.2017.42714"},{"key":"ref12","doi-asserted-by":"publisher","DOI":"10.1016\/j.jemermed.2014.12.048"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2010.03.014"},{"key":"ref14","doi-asserted-by":"publisher","DOI":"10.1016\/0022-2828(78)90367-X"},{"key":"ref15","doi-asserted-by":"publisher","DOI":"10.1016\/0002-8703(85)90596-4"},{"key":"ref16","doi-asserted-by":"publisher","DOI":"10.1023\/A:1006813223216"},{"key":"ref17","doi-asserted-by":"publisher","DOI":"10.1152\/ajpregu.2000.278.5.R1157"}],"container-title":["Case Reports in Nephrology and Dialysis"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/512590","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.karger.com\/Article\/Pdf\/512590","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,23]],"date-time":"2025-04-23T16:17:57Z","timestamp":1745425077000},"score":1,"resource":{"primary":{"URL":"https:\/\/karger.com\/article\/doi\/10.1159\/000512590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,2,25]]},"references-count":17,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2021,5,3]]}},"URL":"https:\/\/doi.org\/10.1159\/000512590","archive":["Portico"],"relation":{"is-supplemented-by":[{"id-type":"doi","id":"10.6084\/m9.figshare.14113133","asserted-by":"subject"}]},"ISSN":["2296-9705"],"issn-type":[{"value":"2296-9705","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,2,25]]}}}