Hyperkalemia and Digoxin Toxicity in a Patient with Kidney Failure, ,

Hyperkalemia resulting from digoxin toxicity is a well-recognized phenomenon. We report a case in which hyperkalemia, bradycardia, and hypotension were unresponsive to standard therapy but appeared to respond to digoxin-specific antibodies (Fab). This case highlights the importance of a high index of suspicion for digoxin toxicity as a potential cause of refractory hyperkalemia. [Fenton F, Smally AJ, Laut J: Hyperkalemia and digoxin toxicity in a patient with kidney failure. Ann Emerg Med October 1996;28:440-441.]