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{
    "pk": 663,
    "title": "A Case of Thiazide-induced Hypokalemic Paralysis",
    "subtitle": null,
    "abstract": "We describe the case of a patient presenting with odd neurologic symptoms initially thought to represent somatization who was found to have critical hypokalemia manifesting as hypokalemic non-periodic paralysis. It was determined that the patient had baseline hypokalemia as a function of alcohol abuse, exacerbated by self overmedication with hydrochlorothiazide for elevated blood pressure readings at home. The diagnosis was suspected when an electrocardiogram was obtained demonstrating a pseudo-prolonged QT interval with ST depression, consistent with T-U wave fusion and a QU interval with an absent T wave.1 The patient received oral and intravenous potassium and magnesium supplementation with resolution of symptoms.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/8ns2c3xj",
    "frozenauthors": [
        {
            "first_name": "Elizabeth",
            "middle_name": "",
            "last_name": "Schell",
            "name_suffix": "",
            "institution": "Drexel University College of Medicine, Philadelphia, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Joshua",
            "middle_name": "",
            "last_name": "Pathman",
            "name_suffix": "",
            "institution": "Crozer-Keystone Health System, Department of Emergency Medicine, Upland, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Richard",
            "middle_name": "",
            "last_name": "Pescatore",
            "name_suffix": "",
            "institution": "Crozer-Keystone Health System, Department of Emergency Medicine, Upland, Pennsylvania",
            "department": "None"
        },
        {
            "first_name": "Pollianne",
            "middle_name": "W.",
            "last_name": "Bianchi",
            "name_suffix": "",
            "institution": "Crozer-Keystone Health System, Department of Emergency Medicine, Upland, Pennsylvania",
            "department": "None"
        }
    ],
    "date_submitted": "2019-04-02T16:27:30-04:00",
    "date_accepted": "2019-04-02T16:27:30-04:00",
    "date_published": "2019-05-20T13:02:58-04:00",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/663/galley/422/download/"
        }
    ]
}