{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T20:15:58Z","timestamp":1780085758911,"version":"3.54.0"},"reference-count":23,"publisher":"Vilnius University Press","issue":"1","license":[{"start":{"date-parts":[[2022,3,15]],"date-time":"2022-03-15T00:00:00Z","timestamp":1647302400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["AML"],"abstract":"<jats:p>Primary hypoparathyroidism (PHPT) is a rare disease most commonly caused by surgical parathyroid glands destruction or genetic disorders. PHPT manifestation varies from subclinical to acute or even lethal symptoms. In atypical presentation the signs of hypocalcemia could be missed, and asymptotic chronic hypocalcemia could manifest only in the presence of exacerbated comorbidities, infections, hypomagnesemia or certain medications. We present a case of PHPT with severe hypocalcemia manifesting as seizures and delirium in a presence of COVID-19 infection.<\/jats:p>","DOI":"10.15388\/amed.2021.29.1.9","type":"journal-article","created":{"date-parts":[[2022,3,15]],"date-time":"2022-03-15T01:51:54Z","timestamp":1647309114000},"page":"136-143","source":"Crossref","is-referenced-by-count":5,"title":["Unrecognized Primary Hypoparathyroidism with Severe Hypocalcemia in the Presence of COVID-19 Infection"],"prefix":"10.15388","volume":"29","author":[{"given":"Domas","family":"Grigoravi\u010dius","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"\u0160iaulien\u0117","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u017dydr\u016bn\u0117","family":"Visockien\u0117","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"6097","published-online":{"date-parts":[[2022,3,15]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Mannstadt M, Bilezikian JP, Thakker RV, et al.: Hypoparathyroidism. 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The Journal of Clinical Endocrinology & Metabolism. 2020, 105:e2667-8. https:\/\/doi.org\/10.1210\/clinem\/dgaa254","DOI":"10.1210\/clinem\/dgaa254"},{"key":"ref11","doi-asserted-by":"publisher","unstructured":"Pepe J, Colangelo L, Biamonte F, et al.: Diagnosis and management of hypocalcemia. Endocrine. 2020, 69:485-95. https:\/\/doi.org\/10.1007\/s12020-020-02324-2","DOI":"10.1007\/s12020-020-02324-2"},{"key":"ref12","unstructured":"Patel M, Hu E: Trousseau Sign. StatPearls. Published Online First: 18 July 2020."},{"key":"ref13","doi-asserted-by":"publisher","unstructured":"Vadiveloo T, Donnan PT, Leese CJ, Abraham KJ, Leese GP: Increased mortality and morbidity in patients with chronic hypoparathyroidism: A population-based study. Clin Endocrinol (Oxf). 2019, 90:285-92. https:\/\/doi.org\/10.1111\/cen.13895","DOI":"10.1111\/cen.13895"},{"key":"ref14","doi-asserted-by":"publisher","unstructured":"Peacock M: Hypoparathyroidism and the Kidney. 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