Severe Hyperkalemia and Life-Threatening Events After Dates Consumption During Ramadan in End-Stage Renal Failure Patient

Abstract

Dates, a traditional and culturally significant food consumed by Muslims worldwide to break fast during Ramadan, are high in potassium. While generally considered nutritious, their intake poses a serious risk to individuals with impaired renal function. Hyperkalemia is a potentially fatal electrolyte disturbance in patients with end-stage kidney disease (ESKD) due to impaired potassium excretion. We discuss a case of life-threatening hyperkalemia in an ESKD patient precipitated by excessive date consumption during Ramadan. This case emphasizes the importance of dietary potassium restriction, timely recognition of hyperkalemia, and the need for rapid potassium-lowering interventions. It also highlights the critical role of patient education and individualized dietary counseling in preventing recurrent, potentially fatal events in this high-risk population.