{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T04:08:00Z","timestamp":1760242080037,"version":"build-2065373602"},"reference-count":12,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T00:00:00Z","timestamp":1544572800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Antibiotics"],"abstract":"<jats:p>(1) Background: The use of intravenous antibiotics for severe infections is a common practice, either as inpatient or outpatient treatment. In the case of methicillin-susceptible Staphylococcus aureus (MSSA), nafcillin is a commonly prescribed intravenous antibiotic, given its known efficacy to treat infections related to this organism effectively. However, it is not without side effects. (2) Methods: We present an interesting case of persistent hypokalemia in a patient after he was started on nafcillin infusion for an MSSA infection, which eventually resolved with the completion of the treatment. (3) Results: Hypokalemia is a known side effect of nafcillin infusion, and it is believed to be mainly due to its antibiotic effect as a non-absorbable ion in the distal tubule and\/or intracellular redistribution due to volume depletion. (4) Conclusions: A review of the available literature revealed that hypokalemia is a known side effect of nafcillin infusion; however, if present, it is usually mild, and only a few cases of severe hypokalemia have been reported. Usually, hypokalemia resolves when the nafcillin infusion is stopped; however, in certain cases, when this is not possible, oral potassium replacement can be used while the patient is receiving nafcillin. Clinicians should be aware of this rare, but possible, complication when using nafcillin.<\/jats:p>","DOI":"10.3390\/antibiotics7040108","type":"journal-article","created":{"date-parts":[[2018,12,12]],"date-time":"2018-12-12T10:54:26Z","timestamp":1544612066000},"page":"108","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["A Case of Hypokalemia Possibly Induced by Nafcillin"],"prefix":"10.3390","volume":"7","author":[{"given":"Fernando","family":"Casado","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, BronxCare Hospital Center, New York, NY 10457, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sitarama Arvind","family":"Mudunuru","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, BronxCare Hospital Center, New York, NY 10457, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rabih","family":"Nasr","sequence":"additional","affiliation":[{"name":"Division of Nephrology, Department of Internal Medicine, BronxCare Hospital Center, New York, NY 10457, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2018,12,12]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1038\/nrneph.2009.17","article-title":"Fluid, electrolytes and acid-base disorders associated with antibiotic therapy","volume":"5","author":"Zietse","year":"2009","journal-title":"Nat. Rev. Nephrol."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"e187","DOI":"10.1016\/j.jemermed.2016.12.011","article-title":"An unlikely cause of hypokalemia","volume":"52","author":"Hine","year":"2017","journal-title":"J. Emerg. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"130","DOI":"10.1097\/IPC.0b013e318184d7a2","article-title":"Hypokalemia associated with Nafcillin treatment","volume":"17","author":"Qua","year":"2009","journal-title":"Infect. Dis. Clin. Pract."},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"841","DOI":"10.1016\/S0022-3476(80)80285-X","article-title":"Nafcillin, pseudoproteinuria, and hypokalemic alkalosis","volume":"97","author":"Andreoli","year":"1980","journal-title":"J. Pediatr."},{"key":"ref_5","unstructured":"Mount, D.B. Evaluation of the Adult Patient with Hypokalemia, UpToDate. Available online: UpToDate.com."},{"key":"ref_6","unstructured":"Mount, D.B. Causes of Hypokalemia in Adults, UpToDate. 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Ther."},{"key":"ref_10","first-page":"OD05","article-title":"Meropenem induced hypokalemia","volume":"11","author":"Anuhya","year":"2017","journal-title":"J. Clin. Diagn. Res."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1001\/jama.1979.03300060046028","article-title":"Nafcillin-associated hypokalemia","volume":"242","author":"Mohr","year":"1979","journal-title":"JAMA"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1046\/j.1445-5994.2002.00243.x","article-title":"Case Report: Severe Hypokalemia secondary to dicloxacillin","volume":"32","author":"Johnson","year":"2002","journal-title":"Intern. Med. J."}],"container-title":["Antibiotics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2079-6382\/7\/4\/108\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T15:33:24Z","timestamp":1760196804000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2079-6382\/7\/4\/108"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,12,12]]},"references-count":12,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2018,12]]}},"alternative-id":["antibiotics7040108"],"URL":"https:\/\/doi.org\/10.3390\/antibiotics7040108","relation":{},"ISSN":["2079-6382"],"issn-type":[{"type":"electronic","value":"2079-6382"}],"subject":[],"published":{"date-parts":[[2018,12,12]]}}}