Curr Health Sci J, vol. 45, no. 4, 2019

The Approach to Tetanic Hypocalcemia Caused by Vitamin D Deficiency

[Case report]

I. BAKALLI (1), E.KOLA (1), E. CELAJ (1), D. SALA (1), I. GJETA (1), D. KLIRONOMI (2), A. GJIKOPULLI (1)

1) Pediatric Intensive Care Unit, University Hospital Center “Mother Theresa”, Tirana, Albania 2) Medical University of Vienna, Vienna, Austria


Recently studies have shown that over half of infants, children and teenagers may be inadequately supplemented. A high prevalence of vitamin D deficiency in children has been observed worldwide, even in sunny countries. Regardless of the recommendations, vitamin D supplementation is sometimes underestimated, supporting the idea that for children in sunny country it is unnecessary. In the modern area of supplementation, tetany seems to be a problem of the past. Usually it occurs at 3 to 6 months of age, that’s why diagnostic suspicion may be low after this age. We report a case of severe hypocalcemia presented with tetany, in an18-months-old child with severe vitamin D deficiency, because of not receiving vitamin D as supplementation. With underestimation of vitamin D supplementation, tetany may emerge again. Through our report we aim to highlight the aggressive approach to tetanic hypocalcemia in children with vitamin D deficiency and to sensitize a rigorous surveillance in order to ensure adequate vitamin D supplementation by pregnant, breastfeeding mothers, children and adolescents.

Vitamin D deficiency, Hypocalcemia, Tetany

Ilirjana Bakalli, Pediatric Intensive Care Unit, University Hospital Center "Mother Theresa", Tirana, Albania, e-mail:

DOI 10.12865/CHSJ.45.04.10 - Download PDF