Late Metabolic Acidosis Caused by Renal Tubular Acidosis in Acute Salicylate Poisoning

被引：5

作者：

Sakai, Norihiro ^{[1
]}

Hirose, Yasuo ^{[1
]}

Sato, Nobuhiro ^{[1
]}

Kondo, Daisuke ^{[2
]}

Shimada, Yuko ^{[3
]}

Hori, Yasushi ^{[3
]}

机构：

[1] Niigata City Gen Hosp, Dept Emergency & Crit Care Med, Niigata, Japan

[2] Niigata City Gen Hosp, Dept Nephrol, Niigata, Japan

[3] Niigata City Gen Hosp, Dept Hosp Pharm, Niigata, Japan

来源：

INTERNAL MEDICINE | 2016年 / 55卷 / 10期

关键词：

drug overdose; acid-base disturbance; renal tubular injury; ASPIRIN OVERDOSE; MANAGEMENT;

D O I：

10.2169/internalmedicine.55.5786

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

A 16-year-old man was transferred to our emergency department seven hours after ingesting 486 aspirin tablets. His blood salicylate level was 83.7 mg/dL. He was treated with fluid resuscitation and sodium bicarbonate infusion, and his condition gradually improved, with a decline in the blood salicylate level. However, eight days after admission, he again reported nausea, a venous blood gas revealed metabolic acidosis with a normal anion gap. The blood salicylate level was undetectable, and a urinalysis showed glycosuria, proteinuria and elevated beta-2 microglobulin and n-acetyl glucosamine levels, with a normal urinary pH despite the acidosis. We diagnosed him with relapse of metabolic acidosis caused by renal tubular acidosis.

引用

页码：1315 / 1317

页数：3

共 50 条

[41] TUBULAR EFFECTS OF ACUTE METABOLIC-ACIDOSIS IN RAT
DUBB, J
GOLDBERG, M
AGUS, ZS
JOURNAL OF LABORATORY AND CLINICAL MEDICINE, 1977, 90 (02): : 318 - 323
[42] Renal tubular acidosis with hyperchloremic acidosis: harmless with a sting?
Honore, Patrick M.
Jacobs, Rita
Hendrickx, Inne
De Waele, Elisabeth
Van Gorp, Viola
Spapen, Herbert D.
CRITICAL CARE, 2015, 19
[43] Renal tubular acidosis with hyperchloremic acidosis: harmless with a sting?
Patrick M. Honore
Rita Jacobs
Inne Hendrickx
Elisabeth De Waele
Viola Van Gorp
Herbert D. Spapen
Critical Care, 19
[44] Diagnosis of Renal Tubular Acidosis in Patients With Acute Pyelonephritis
Lin, Yu-Ling
Lin, Chaou-Shune
JOURNAL OF ACUTE MEDICINE, 2019, 9 (03) : 149 - 150
[45] Severe hypokalemia and metabolic acidosis - Ibuprofen-induced severe hypokalemia and renal tubular acidosis
Chavez-Iniguez, Jonathan S.
Espinosa-Garcia, Francisco
Pacheco-Plascencia, Alejandra
Andrade-Sierra, Jorge
Rubio-Reynoso, Ricardo
Garcia-Garcia, Guillermo
KIDNEY INTERNATIONAL, 2018, 93 (05) : 1255 - +
[46] RENAL GLUTAMATE METABOLISM IN ACUTE METABOLIC ACIDOSIS
PREUSS, HG
NEPHRON, 1969, 6 (03): : 235 - &
[47] RENAL RESPONSE TO ACETAZOLAMIDE (DIAMOX) DURING THE METABOLIC ACIDOSIS OF SALICYLATE INTOXICATION
SCHWARTZ, R
FELLERS, FX
KNAPP, J
YAFFE, S
JOURNAL OF CLINICAL INVESTIGATION, 1958, 37 (06): : 929 - 929
[48] The Case Renal tubular acidosis and eye findings Proximal renal tubular acidosis with ocular abnormalities The Diagnosis Proximal renal tubular acidosis with ocular abnormalities
Kari, Jameela A.
El Desoky, Sherif M.
Singh, Ajay K.
Gari, Manndooh A.
Kleta, Robert
Bockenhauer, Detlef
KIDNEY INTERNATIONAL, 2014, 86 (01) : 217 - 218
[49] RENAL TUBULAR-ACIDOSIS
RODRIGUEZSORIANO, J
VALLO, A
PEDIATRIC NEPHROLOGY, 1990, 4 (03) : 268 - 275
[50] RENAL TUBULAR-ACIDOSIS
MUSGRAVE, JE
CAMPBELL, RA
BENNETT, WM
EISENBER.CS
LANCET, 1972, 2 (7791): : 1364 - &

← 1 2 3 4 5 →