Primary aldosteronism diagnosis in the intensive care unit: resistant alkalosis and hypokalemia during severe sepsis with hyperlactatemia: a case report.

ABSTRACT:

Background

Primary aldosteronism screening indications include hypertension (resistant, severe, early onset, with stroke/other comorbidities/sleep apnea), hypokalemia, adrenal incidentaloma, and primary aldosteronism first-degree relatives. We report rare diagnosis of primary aldosteronism in intensive care unit setting, characterized by resistant alkalosis and hypokalemia during severe sepsis with hyperlactatemia.

Case presentation

A 50-year-old Asian-Indian male patient with 18-year history of hypertension (blood pressure 166/104 mmHg) presented with acute septicemia and septic shock following an outpatient urethral dilatation. Despite aggressive management, including intravenous fluids, inotropes, antibiotics, and potassium supplementation, he exhibited severe alkalosis a

SUBMITTER: Garg Y 

PROVIDER: S-EPMC12032634 | biostudies-literature | 2025 Apr

REPOSITORIES: biostudies-literature