Abstract

A 37-year-old pregnant woman at 35 weeks gestation was admitted to the OB-GYN service because of fever and sore throat. During hospitalization, she underwent artificial abortion because of fetal death. Since renal failure developed in addition to fever and sore throat, she was transferred to our hospital. After she receiving parenteral fluids and diuretics, her renal failure improved. Seizures and unconsciousness developed, however, in spite of improvement of renal function. Blood chemistry data showed that the serum calcium and magnesium values decreased to 2.6mEq/l and 1.2mg/dl respectively. The serum calcium did not return to normal even after administration calcium gluconate and magnesium supplementation (MgSO4; Mg 480mg/day) was initiated which resulted in cessation of seizure activity and return of lucidity. This report emphasizes the role of hypomagnesemia in causing seizures and disturbance of consciousness during pregnancy.

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