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Hypomagnesemia in acute leptospirosis.

机译:低镁血症在急性钩端螺旋体病中。

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Dear Sir: An interesting case study of a patient with acute leptospiro sis who displayed severe hypomagnesemia and required large doses of magnesium replacement during the acute phase was recently published in the American Journal of Tropical Medicine and Hygiene.1 We concur with the authors' observation that magnesium imbalance in leptospirosis has for the most part been neglected in the literature. We would extend this observation and suggest that serum magnesium concentration has been under-used by the leptospirosis and medical communities, given that magnesium levels may affect mental status and that altered mental status in leptospirosis is a poor prognostic indicator.
机译:尊敬的主席先生:最近,《美国热带医学与卫生杂志》发表了一个有趣的案例研究,该患者患有严重的低镁血症并在急性期需要大量补充镁。1钩端螺旋体病中镁的失衡在文献中大部分被忽略。考虑到镁水平可能会影响精神状态,而钩端螺旋体病的精神状态改变是不良的预后指标,因此我们将扩大该观察范围,并建议钩端螺旋体病和医学界对血清镁的使用不足。

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