Silent Acute Renal Impairment after Low-dose Paraquat Ingestion

Gespeichert in:

Bibliographische Detailangaben
Zeitschriftentitel:	Case Reports in Acute Medicine
Personen und Körperschaften:	Ito, Hiroshi
In:	Case Reports in Acute Medicine, 2, 2019, 2, S. 31-34
Format:	E-Article
Sprache:	Englisch
veröffentlicht:	S. Karger AG
Schlagwörter:	General Medicine

Details
Zusammenfassung:	<jats:p>Paraquat poisoning causes fatal multi-organ failure soon after ingestion. Here we report a case of paraquat poisoning presenting acute kidney injury without any preceding signs and symptoms other than nausea and vomiting. A 77-year-old man was admitted to our hospital because of paraquat ingestion and received fluid resuscitation until the negative conversion of urine paraquat on day 4. Serum creatinine abnormality emerged on the same day, which improved gradually without any specific intervention. Paraquat poisoning can cause silent acute renal impairment. Abundant fluid resuscitation after renal impairment is not essential provided that sufficient fluid is administered beforehand. Repeated screening for renal impairment and sufficient fluid resuscitation are important in the early phase of low-dose paraquat poisoning.</jats:p>
Umfang:	31-34
ISSN:	2504-5288
DOI:	10.1159/000501648