Excessive Ingestion of Almond Milk Causes Severe Hypercalcemia and Acute Kidney Injury in a Patient With Chronic Kidney Disease

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Table.

Patient's Laboratory Data

		Testing Time Point
Parameter	Reference Range	Baseline, 2/13/2023	Outpatient, 4/10/2023	Admission, 4/10/2023	Discharge, 4/13/2023	Follow-up, 5/2/2023
Clinical Chemistry
Sodium, mmol/L	136-145	137	137	140	142	139
Potassium, mmol/L	3.5-5.1	5.0	4.4	3.8	3.4	4.9
Bicarbonate, mmol/L	23-29	23	21	23	19	21
Blood urea nitrogen, mg/dL	6-20	60	43	51	31	47
Creatinine, mg/dL	0.5-1.4	2.2	3.7	3.4	2.5	2.1
eGFR, mL/min/1.73 m²	>60	36	19	19	28	34
Calcium, mg/dL	8.7-10.5	9.8	15.4	15.3	9.5	10.0
Glucose, mg/dL	70-110	326	179	105	87	102
Phosphorus, mg/dL	2.7-4.5			3.1	3.1
Alkaline phosphatase, U/L	55-135	125		94	82	92
Protein total, g/dL	6.0-8.4	7.1		7.1	5.9	7.2
Albumin, g/dL	3.5-5.2	3.4		3.8	3.2	3.8
Vitamin D 1,25-dihydroxy, pg/mL	20-79			10
PTH, pg/mL	9.0-77.0			14
Hemoglobin, g/dL	14.0-18.0	11.2		10.6	9.7	10.3
Serum Electrophoresis
Kappa FLC, mg/dL	0.33-1.94			3.4
Lambda FLC, mg/dL	0.57-2.63			1.77
Kappa/lambda FLC ratio	0.26-1.65			1.92
Immunofixation				No monoclonal peak
Urine microalbumin/creatinine ratio	0-30			1,062.9