Case Report

Volume: 4 | Issue: 6 | Published: Jun 27, 2020 | Pages: 223 - 225 | DOI: 10.24911/ejmcr/173-1589037287

A case report of tetanic crisis from acute severe hypocalcemia secondary to hypovitaminosis D: analysis of risk factors for vitamin D deficiency between 1 and 18 years


Authors: Jessica Gencarelli , Alessandra Iacono , Giuditta Pellino , Cristina Host , Giuseppe Maggiore


Article Info

Authors

Jessica Gencarelli

Section of Pediatrics, Medical Department, University Hospital of Ferrara, Arcispedale Sant'Anna, Emilia-Romagna, Italy

Alessandra Iacono

Department of Pediatrics, Santa Maria delle Croci Hospital, Local Health Unit of Romagna, Emilia-Romagna, Italy

Giuditta Pellino

Section of Pediatrics, Medical Department, University Hospital of Ferrara, Arcispedale Sant'Anna, Emilia-Romagna, Italy

Cristina Host

Section of Pediatrics, Medical Department, University Hospital of Ferrara, Arcispedale Sant'Anna, Emilia-Romagna, Italy

Giuseppe Maggiore

Section of Pediatrics, Medical Department, University Hospital of Ferrara, Arcispedale Sant'Anna, Emilia-Romagna, Italy

Publication History

Received: May 12, 2020

Revised: May 26, 2020

Accepted: June 01, 2020

Published: June 27, 2020


Abstract


Background: Hypocalcemia is one of the most common disorders of metabolism in children. One of the most known causes is hypovitaminosis D, an extremely widespread condition in the world, both in developed and developing countries. Etiology is related to poor exposure to sunlight and inadequate diet, especially in subjects with dark skin or exclusively breastfed or born to mothers with vitamin D deficiency by ethnic and cultural reasons. Case Presentation: We report a case of a teenager from Morocco, who presented a tetanic crisis in the course of influenza B. The laboratory tests showed severe hypocalcemia and low serum vitamin D concentration with increased parathyroid hormone value. The administration of calcium and vitamin D normalized the clinical and laboratory parameters. Conclusions: Adolescents of ethnic groups at risk frequently find themselves in a chronic situation of altered metabolism deriving from vitamin D deficiency. Hence, a simple insult, as influenza B virus, can lead to severe pathological manifestations.

Keywords: Hypovitaminosis D risk factors, hypocalcemia, influenza B, adolescent, case report, green


Pubmed Style

Jessica Gencarelli, Alessandra Iacono, Giuditta Pellino, Cristina Host, Giuseppe Maggiore. A case report of tetanic crisis from acute severe hypocalcemia secondary to hypovitaminosis D: analysis of risk factors for vitamin D deficiency between 1 and 18 years. EJMCR. 2020; 27 (June 2020): 223-225. doi:10.24911/ejmcr/173-1589037287

Web Style

Jessica Gencarelli, Alessandra Iacono, Giuditta Pellino, Cristina Host, Giuseppe Maggiore. A case report of tetanic crisis from acute severe hypocalcemia secondary to hypovitaminosis D: analysis of risk factors for vitamin D deficiency between 1 and 18 years. https://ejmcr.com/articles/1423 [Access: December 04, 2024]. doi:10.24911/ejmcr/173-1589037287

AMA (American Medical Association) Style

Jessica Gencarelli, Alessandra Iacono, Giuditta Pellino, Cristina Host, Giuseppe Maggiore. A case report of tetanic crisis from acute severe hypocalcemia secondary to hypovitaminosis D: analysis of risk factors for vitamin D deficiency between 1 and 18 years. EJMCR. 2020; 27 (June 2020): 223-225. doi:10.24911/ejmcr/173-1589037287

Vancouver/ICMJE Style

Jessica Gencarelli, Alessandra Iacono, Giuditta Pellino, Cristina Host, Giuseppe Maggiore. A case report of tetanic crisis from acute severe hypocalcemia secondary to hypovitaminosis D: analysis of risk factors for vitamin D deficiency between 1 and 18 years. EJMCR. (2020), [cited December 04, 2024]; 27 (June 2020): 223-225. doi:10.24911/ejmcr/173-1589037287

Harvard Style

Jessica Gencarelli, Alessandra Iacono, Giuditta Pellino, Cristina Host, Giuseppe Maggiore (2020) A case report of tetanic crisis from acute severe hypocalcemia secondary to hypovitaminosis D: analysis of risk factors for vitamin D deficiency between 1 and 18 years. EJMCR, 27 (June 2020): 223-225. doi:10.24911/ejmcr/173-1589037287

Chicago Style

Jessica Gencarelli, Alessandra Iacono, Giuditta Pellino, Cristina Host, Giuseppe Maggiore. "A case report of tetanic crisis from acute severe hypocalcemia secondary to hypovitaminosis D: analysis of risk factors for vitamin D deficiency between 1 and 18 years." 27 (2020), 223-225. doi:10.24911/ejmcr/173-1589037287

MLA (The Modern Language Association) Style

Jessica Gencarelli, Alessandra Iacono, Giuditta Pellino, Cristina Host, Giuseppe Maggiore. "A case report of tetanic crisis from acute severe hypocalcemia secondary to hypovitaminosis D: analysis of risk factors for vitamin D deficiency between 1 and 18 years." 27.June 2020 (2020), 223-225. Print. doi:10.24911/ejmcr/173-1589037287

APA (American Psychological Association) Style

Jessica Gencarelli, Alessandra Iacono, Giuditta Pellino, Cristina Host, Giuseppe Maggiore (2020) A case report of tetanic crisis from acute severe hypocalcemia secondary to hypovitaminosis D: analysis of risk factors for vitamin D deficiency between 1 and 18 years. , 27 (June 2020), 223-225. doi:10.24911/ejmcr/173-1589037287