{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:34:36Z","timestamp":1787762076600,"version":"build-2784847793"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2023,4]]},"abstract":"<jats:p>Hypercalcemia is generally caused by primary hyperparathyroidism, malignancies, and drugs. Herein, we report a case of severe hypercalcemia due to drowning in hot springs. A 55-year-old woman was found floating in a public bath at a hotel and was admitted to a nearby hospital. The patient was intubated because of hypoxia and shock, and noradrenaline was titrated. Computed tomography revealed bilateral aspiration pneumonia. Blood tests revealed hypercalcemia (serum total calcium [Ca]: 18.7 mg\/dL). Hyperparathyroidism, malignancy, and drug-related factors were ruled out as the causes of hypercalcemia. In addition, the public bath in which the patient drowned contained high concentrations of Ca. We concluded that the reason for hypercalcemia was accidental ingestion of the hot spring water containing a high concentration of Ca through the gastrointestinal tract. In the case of drowning and hypercalcemia, the cause may be clarified by examining the components that were accidentally swallowed.<\/jats:p>","DOI":"10.4103\/jets.jets_78_22","type":"journal-article","created":{"date-parts":[[2023,6,30]],"date-time":"2023-06-30T03:00:10Z","timestamp":1688094010000},"page":"63-65","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Severe Hypercalcemia due to Drowning in an Onsen (Hot Spring)"],"prefix":"10.4103","volume":"16","author":[{"given":"Daisuke","family":"Ueno","sequence":"first","affiliation":[{"name":"Department of Acute Medicine, Kawasaki Medical School, Kurashiki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasukazu","family":"Shiino","sequence":"additional","affiliation":[{"name":"Department of Acute Medicine, Kawasaki Medical School, Kurashiki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiro","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Department of Acute Medicine, Kawasaki Medical School, Kurashiki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takahiro","family":"Inoue","sequence":"additional","affiliation":[{"name":"Department of Acute Medicine, Kawasaki Medical School, Kurashiki, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,2,24]]},"reference":[{"key":"R1-20240828","doi-asserted-by":"crossref","first-page":"868","DOI":"10.2169\/internalmedicine.34.868","article-title":"Severe hypercalcemia and polyuria in a near-drowning victim","volume":"34","author":"Machi","year":"1995","journal-title":"Intern Med"},{"key":"R2-20240828","doi-asserted-by":"crossref","first-page":"210","DOI":"10.12659\/AJCR.889279","article-title":"Hypercalcemic crisis resulting from near drowning in an indoor public bath","volume":"14","author":"Matsumoto","year":"2013","journal-title":"Am J Case Rep"},{"key":"R3-20240828","doi-asserted-by":"crossref","first-page":"669","DOI":"10.1016\/S0196-0644(05)82392-3","article-title":"Hypercalcemia complicating an industrial near-drowning","volume":"20","author":"Fromm","year":"1991","journal-title":"Ann Emerg Med"},{"key":"R4-20240828","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1016\/0022-0736(90)90162-U","article-title":"Electrocardiographic manifestations of combined hypercalcemia and hypermagnesemia","volume":"23","author":"Mosseri","year":"1990","journal-title":"J Electrocardiol"},{"key":"R5-20240828","first-page":"856","article-title":"Near-drowning in the dead sea: A retrospective observational analysis of 69 patients","volume":"5","author":"Saidel-Odes","year":"2003","journal-title":"Isr Med Assoc J"},{"key":"R7-20240828","doi-asserted-by":"crossref","first-page":"2102","DOI":"10.1056\/NEJMra1013317","article-title":"Drowning","volume":"366","author":"Szpilman","year":"2012","journal-title":"N Engl J Med"}],"container-title":["Journal of Emergencies, Trauma, and Shock"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_78_22","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T16:15:06Z","timestamp":1787760906000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_78_22"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,24]]},"references-count":6,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2023]]}},"URL":"https:\/\/doi.org\/10.4103\/jets.jets_78_22","relation":{},"ISSN":["0974-2700","0974-519X"],"issn-type":[{"value":"0974-2700","type":"print"},{"value":"0974-519X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,2,24]]},"assertion":[{"value":"2022-06-01","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-09-19","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}