High serum aluminium levels and acute reversible encephalopathy in a 4-year-old boy with acute renal failure.
We report a 4-year-old boy, in acute renal failure, who had acute encephalopathy with very high serum aluminium levels (135 micrograms/l [5 mumol/l]) after receiving vesical irrigations with alum. We believe that in situations of non-focal neurological deterioration with no apparent cause in patients with impaired renal function receiving aluminium-containing preparations, the possibility of acute aluminium poisoning should be considered.
Department of Paediatrics, Children's Hospital, Vall d'Hebron, Autonomous University of Barcelona, Spain.
A
A
Moreno
P
P
Domínguez
C
C
Domínguez
A
A
Ballabriga
D000208:Acute Disease; D058186:Acute Kidney Injury / Q000097:blood* / Q000209:etiology; D000283:Administration, Intravesical; D000534:Alum Compounds / Q000008:administration & dosage / Q000506:poisoning*; D000535:Aluminum / Q000097:blood / Q000506:poisoning*; D001927:Brain Diseases / Q000097:blood / Q000139:chemically induced*; D002675:Child, Preschool; D003556:Cystitis / Q000097:blood / Q000150:complications / Q000188:drug therapy; D006470:Hemorrhage / Q000097:blood / Q000150:complications / Q000188:drug therapy; D006801:Humans; D008297:Male; D001743:Urinary Bladder
D000534:Alum Compounds; C041524:aluminum sulfate; D000535:Aluminum