Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature
Yıl: 2013 Cilt: 20 Sayı: 4 Sayfa Aralığı: 344 - 347 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature
Öz: On altı yaşında kız hasta bulantı ve kusma yakınmaları ile acil servisimize başvurdu. Öyküsünden, gün önce intihar amaçlı 35 adet De-Noltablet (10,5 gr kolloidal bizmut subsitrat) aldığı öğrenildi. Başvuru anındaki fizik muayene bulguları normal olarak değerlendirildi. Laboratuartetkiklerinde; BUN 76 mg/dl, kreatinin 19.2 mg/dl ve serum bizmut düzeyi 395 pg/lt idi. Hastaya sıvı ve elektrolit tedavisi, hemodiyaliztedavisi ve şelatör ajan olarak penisilamin tedavileri başlandı. Daha sonra, 72 saat süreyle sürekli venö--venöz hemodiyafiltrasyon tedavisiuygulandı. Üç günlük hemodiyafiltrasyon tedavisi sonunda BUN: 14 mg/dl ve serum kreatinin düzeyi 0.78 mg/dl'ye geriledi. Penisilamintedavisinin 14. gününde serum bizmut düzeyi 32 ug/L'ye düştü. Bu vaka; kolloidal bizmut subsitrat intoksikasyonu sonucu gelişen akutböbrek hasarının tedavisinde hemodiyaliz yan etkileri gözlendiğinde hemodiyafiltrasyonun alternatif bir tedavi yöntemi olabileceğini göstermiştir.
Anahtar Kelime: Konular:
Hemodiafiltrasyon İle Hızlıca Tedavi Edilen Bizmut Zehirlenmesine Bağlı Akut Böbrek Hasarı: Güncelleme ve Olgu Tartışması
Öz: 16-years-old girl admitted to our emergency unit with complaints of nausea and vomiting. From her history, we learned that she hadingested 35 tablets (10.5 9) of colloidal bismuth subcitrate (CBS) (De--Nol) in suicidal attempt days ago. On admission, her physicalexamination findings were unremarkable. Her laboratory findings were blood urea nitrogen (BUN) 76.0 mg/dl, serum creatinine (Cr) was19.2 mg/dl and serum bismuth level was 395 ug/L. lntravenous fluid and electrolytes, hemodialysis (HD) and penicillamine as chelatoragent was initiated. Then, continuous veno-venous hemodiafiltration (CWHDF) was performed during 72 hours. On the 3rd day the CVVHDF treatment BUN and Cr values decreased to 14 mg/dl and 0.78 mg/dl, respectively. This case report showed that CWHDF can be an alternative therapy for acute kidney injury due to CBS intoxication when complications observed in HD.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
| APA | ELMAS A, Tabel Y (2013). Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature. , 344 - 347. |
| Chicago | ELMAS AHMET TANER,Tabel Yılmaz Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature. (2013): 344 - 347. |
| MLA | ELMAS AHMET TANER,Tabel Yılmaz Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature. , 2013, ss.344 - 347. |
| AMA | ELMAS A,Tabel Y Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature. . 2013; 344 - 347. |
| Vancouver | ELMAS A,Tabel Y Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature. . 2013; 344 - 347. |
| IEEE | ELMAS A,Tabel Y "Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature." , ss.344 - 347, 2013. |
| ISNAD | ELMAS, AHMET TANER - Tabel, Yılmaz. "Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature". (2013), 344-347. |
| APA | ELMAS A, Tabel Y (2013). Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 20(4), 344 - 347. |
| Chicago | ELMAS AHMET TANER,Tabel Yılmaz Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 20, no.4 (2013): 344 - 347. |
| MLA | ELMAS AHMET TANER,Tabel Yılmaz Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, vol.20, no.4, 2013, ss.344 - 347. |
| AMA | ELMAS A,Tabel Y Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2013; 20(4): 344 - 347. |
| Vancouver | ELMAS A,Tabel Y Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature. İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi. 2013; 20(4): 344 - 347. |
| IEEE | ELMAS A,Tabel Y "Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature." İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi, 20, ss.344 - 347, 2013. |
| ISNAD | ELMAS, AHMET TANER - Tabel, Yılmaz. "Acute Kidney Injury Associated with Rapid Treatment of Hemodiafiltration for Bismuth Intoxication: Update and Review of the Literature". İnönü Üniversitesi Turgut Özal Tıp Merkezi Dergisi 20/4 (2013), 344-347. |
