科研之友
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摘要
La hipomagnesemia se ha relacionado con dosis acumuladas altas de cisplatino y su presentaci車n cl赤nica se caracteriza por alteraciones neuromusculares y cardiovasculares. Presentamos el caso de un paciente con c芍ncer avanzado que hab赤a recibido varias l赤neas de tratamiento de quimioterapia y recib赤a tratamiento analg谷sico opioide. Durante su estancia en el hospital present車 alucinaciones visuales y un intenso e inexplicado dolor en el hombro. La sintomatolog赤a revirti車 tras la normalizaci車n de los niveles de magnesio en sangre, que eran bajos. Consideramos que los niveles s谷ricos de magnesio deber赤an monitorizarse en los pacientes oncol車gicos con dolor inusual o s赤ntomas neurol車gicos o psiqui芍tricos no explicables. Hypomagnesemia has been related to high accumulated doses of cisplatin, and its clinical presence is characterized by neuromuscular and cardiovascular alterations. We present the case of an advanced cancer patient who had received successive lines of chemotherapy and who was receiving opioid treatment for cancer pain. During his hospital stay, he experienced visual hallucinations and very intense, unexplained pain in one shoulder. Symptoms reverted with the normalization of his plasma magnesium levels, which were low. We consider that plasma magnesium levels should be monitored in oncology patients with neurological or psychiatric symptoms or with unusual pain.
