Rhabdomyolysis and acute renal failure complicating detergent ingestion

Rhabdomyolysis should be considered in the aetiology of all patients with unexplained acute renal failure (ARF). Early recognition provides the opportunity to initiate therapy aimed at preventing or limiting nephrotoxicity from the released heme pigment, myoglobin. We report an adult patient who dev...

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Bibliographic Details
Published inSingapore medical journal Vol. 41; no. 4; pp. 182 - 183
Main Authors PRABHAKAR, K. S, PALL, A. A, WOO, K. T
Format Journal Article
LanguageEnglish
Published Singapore Singapore Medical Association 01.04.2000
Subjects
Acute Kidney Injury - chemically induced
Acute Kidney Injury - complications
Acute Kidney Injury - therapy
Adult
Biological and medical sciences
Detergents - poisoning
Follow-Up Studies
Humans
Kidney Function Tests
Male
Medical sciences
Nephrology. Urinary tract diseases
Nephropathies. Renovascular diseases. Renal failure
Renal Dialysis
Renal failure
Rhabdomyolysis - chemically induced
Rhabdomyolysis - complications
Rhabdomyolysis - therapy
Suicide, Attempted
Tropical medicine
Kidney disease
Human
Urinary system disease
Detergent
Toxicity
Acute
Male
Rhabdomyolysis
Ingestion
Case study
Striated muscle disease
Etiology
Renal failure
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Summary:Rhabdomyolysis should be considered in the aetiology of all patients with unexplained acute renal failure (ARF). Early recognition provides the opportunity to initiate therapy aimed at preventing or limiting nephrotoxicity from the released heme pigment, myoglobin. We report an adult patient who developed ARF following the ingestion of a large amount of household detergent which, as far as we are aware, has not been previously described. The report illustrates the importance of measuring muscle enzyme levels and urinary myoglobin to confirm the possibility of rhabdomyolysis in any unusual presentation of ARF.
ISSN:0037-5675