Document Type

Article

Publication Title

Cureus

Abstract

Severe hypokalemia can have life-threatening complications such as significant muscle weakness, ileus, rhabdomyolysis, and respiratory failure. Here, we report a case of a 33-year-old male who presented with worsening lower extremity weakness and falls after smoking marijuana for six months. Initial labs showed severe hypokalemia. EKG was remarkable for a first-degree AV block, widened QRS complex, and ST segment depression. Intravenous potassium replacement resulted in complete resolution of lower extremity motor weakness. Our case highlights the underdiagnosed association of marijuana use with clinically significant hypokalemia and the rare presentation of severe hypokalemia with acute paralysis.

DOI

10.7759/cureus.44393

Publication Date

8-30-2023

Keywords

acute hypokalemic paralysis, severe hypokalemia etiologies, cannabis use complications, severe hypokalemia induced paralysis, cannabis induced hypokalemia

ISSN

2168-8184

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