title: [A case of acute potassium bromate intoxication].
abstract: We experienced a case of a 44 year old man who had ingested potassium bromate solution for suicide attempt. Soon after the ingestion, nausea, vomiting, abdominal pain and diarrhea developed in him. Several hours later, he began to complain of auditory disturbance and, in addition, anuric acute renal failure occurred. Direct hemoperfusion and hemodialysis was performed on the patient for the treatment purpose. Five weeks later, he was released from hemodialysis procedure. Gradually, on the other hand, progressing anemia was observed until 90th hospital day, which slowly improved thereafter. Further, pruritus, lower leg pain, headache, tinnitus and loss of sense of taste, etc. were observed in the clinical course. Renal biopsy was performed on the 119th hospital day and the specimen showed the regenerative stage of acute tubular necrosis. In our case, acute renal failure was reversible and, many other clinical manifestations were observed. However slight anemia and irreversible severe auditory disturbance remained unimproved.
authors.affiliation: Saiseikai Sendai Hospital, Kagoshima.
authors.forename: F
authors.initials: F
authors.lastname: Hamada
authors.forename: S
authors.initials: S
authors.lastname: Ohzono
authors.forename: S
authors.initials: S
authors.lastname: Yamada
authors.forename: Y
authors.initials: Y
authors.lastname: Baba
authors.forename: Y
authors.initials: Y
authors.lastname: Tokuda
authors.forename: W
authors.initials: W
authors.lastname: Yamashita
authors.forename: A
authors.initials: A
authors.lastname: Nakashima
authors.forename: R
authors.initials: R
authors.lastname: Harada
authors.forename: T
authors.initials: T
authors.lastname: Arima
authors.forename: T
authors.initials: T
authors.lastname: Morita
mesh_terms: D058186:Acute Kidney Injury / Q000139:chemically induced; D000328:Adult; D000740:Anemia / Q000139:chemically induced; D001959:Bromates / Q000506:poisoning*; D003638:Deafness / Q000139:chemically induced; D006801:Humans; D008297:Male; D013405:Suicide
chemical_list: D001959:Bromates; C019536:potassium bromate