Colchicine overdose-induced acute renal failure and electrolyte imbalance

被引:20
作者
Huang, Wen-Hung
Hsu, Ching-Wei
Yu, Chun-Chen
机构
[1] Chang Gung Mem Hosp, Kidney Inst, Dept Nephrol, Poison Ctr, Taipei 105, Taiwan
[2] Chang Gung Univ, Coll Med, Tao Yuan, Taiwan
关键词
colchicine; electrolyte imbalance; acute renal failure; multiple organ failure;
D O I
10.1080/08860220601166644
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Colchicine has been used to control gouty arthritis for long time; colchicine overdose, however, causes multiple organ dysfunction. To date, no investigation has revealed the site of kidney lesion or dysfunction. This investigation describes the case of a male with a history of gout who ingested a large amount of colchicine and developed renal, hematopoietic, gastrointestinal, muscular, electrolytic, and hepatic disorder. Glucosuria was noted during hospital days. Colchicine intoxication is shown to induce proximal tubule damage. Severe electrolytes imbalance was noted, including hypomagnesemia, hypophosphatemia, and hypocalcemia. After management, the renal function and serum electrolyte of the patient recovered on the sixth day of hospitalization.
引用
收藏
页码:367 / 370
页数:4
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