Excessive cola-based drink consumption as a criminal for hypokalemia and rhabdomyolysis

A 33-year-old man was admitted to our emergency department with leg pain. His serum potassium level was 2.3 mmol/L. Laboratory tests ruled out renal potassium wasting. A dietary history revealed that he had been consuming at least 1 liter of cola per day for several months. We present a case of hypokalaemic myopathy induced by chronic cola-based drink consuming.Keywords: Cola-based drink consumption, Hypokalemia, Rhabdomyolysis

Excessive cola-based drink consumption as a criminal for hypokalemia and rhabdomyolysis

A 33-year-old man was admitted to our emergency department with leg pain. His serum potassium level was 2.3 mmol/L. Laboratory tests ruled out renal potassium wasting. A dietary history revealed that he had been consuming at least 1 liter of cola per day for several months. We present a case of hypokalaemic myopathy induced by chronic cola-based drink consuming.Keywords: Cola-based drink consumption, Hypokalemia, Rhabdomyolysis

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  • Nielsen SJ, Popkin BM. Changes in beverage intake between 1977 and 2001. Am J Prev Med 2004;27:205-10.
  • Buridi A, Corman L, Redinger R. Hypokalemic nephropathy and nephrogenic diabetes insipidus due to excessive consumption of a soft drink. South Med J 1998; 91:1079-82.
  • Matsunami K, Imai A, Tamaya T. Hypokalemia in a pregnant woman with long-term heavy cola consumption. Int J Gynecol Obstet 1994;44:283-4.
  • Appel CC, Myles TD. Caffeine-induced hypokalemic paralysis in pregnancy. Obstet Gynecol 2001;97:805-7.
  • Packer CD. Chronic hypokalemia due to excessive cola consumption: a case report. Cases J 2008; 1:32. doi: 10.1186/1757-1626-1-32
  • Yuzbashian E, Asghari G, Mirmiran P, Zadeh-Vakili A, Azizi F. Sugar sweetened beverage consumption and risk of incident chronic kidney disease: Tehran Lipid and Glucose Study. Nephrology (Carlton) 2015 Oct 6. doi: 10.1111/nep.12646 [Epub ahead of print]
  • Cheungpasitporn W, Thongprayoon C, Edmonds PJ, et al. Sugar and artificially sweetened soda consumption linked to hypertension: A systematic review and metaanalysis.
  • Clin Exp Hypertens 2015;37:587-93. doi: 10.3109/10641963.2015.1026044.
  • Arnaud MJ. The pharmacology of caffeine. Prog Drug Res 1987;31:273-313.
  • Stormer FC, Reistad, Alexander J. Glycyrrhizic acid in liquorice evaluation of health hazard. Food Chem Toxicol 1993;31:303-12.
  • Kasap B, Soylu A, Cetin BS, Camlar SA, Türkmen MA, Kavukçu S. Acute kidney injury following hypokalemic rhabdomyolysis: complication of chronic heavy cola consumption in an adolescent boy. Eur J Pediatr
  • 169:107-11. doi: 10.1007/s00431-009-0975-3.
  • Tsimihodimos V, Kakaidi V, Elisaf M. Cola-induced hypokalaemia: pathophysiological mechanisms and clinical implications. Int J Clin Pract 2009; 63:900-2 . doi:10.1111/j.1742-1241.2009.02051.x