Bismuth subcitrate nephrotoxicity. A reversible cause of acute oliguric renal failure.
Bismuth subcitrate is a known nephrotoxic agent that may lead to acute oliguric renal failure when ingested in toxic doses. We report a 17-year-old girl who was admitted to the emergency room with complaints of nausea, vomiting, and anuria. She had taken 25 tablets containing 300 mg bismuth subcitrate (total 7.5 g). The patient was managed with hemodialysis started a week after ingestion. Bismuth subcitrate nephrotoxicity should be considered in the differential diagnosis of acute renal failure.
Sarikaya
Metin
M
Inonu University, School of Medicine, Department of Internal Medicine, Division of Nephrology, Turgut Ozal Medical Center, Malatya, Turkey.
Sevinc
Alper
A
Ulu
Ramazan
R
Ates
Fehmi
F
Ari
Fahri
F
D058186:Acute Kidney Injury / Q000139:chemically induced*; D000293:Adolescent; D000897:Anti-Ulcer Agents / Q000009:adverse effects*; D005260:Female; D006801:Humans; D009846:Oliguria / Q000139:chemically induced*; D009942:Organometallic Compounds / Q000009:adverse effects*
D000897:Anti-Ulcer Agents; D009942:Organometallic Compounds; C002791:bismuth tripotassium dicitrate