[Iodine intoxication after subcutaneous irrigations of povidone iodine].
Irrigation of povidone iodine considered as a safe and effective procedure, is frequently used for deep infections. We report a case of intoxication by iodine in a man of 68-year-old after subcutaneous irrigations of Betadine at a concentration of 20% for a subcutaneous infection of the thigh. Abnormalities of cardiac conduction, lactic acidosis, acute renal failure, hypocalcaemia and thyroid dysfunction were the manifestations of the intoxication confirmed by a very high level of total blood iodine and urine iodine.
Département d'anesthésie réanimation, centre hospitalier universitaire de Saint-Etienne, hôpital Nord, 42055 Saint-Etienne, France. gaelle_labbe@yahoo.fr
G
G
Labbé
P
P
Mahul
J
J
Morel
R
R
Jospe
A
A
Dumont
C
C
Auboyer
D000368:Aged; D000891:Anti-Infective Agents, Local / Q000009:adverse effects* / Q000627:therapeutic use; D002118:Calcium / Q000097:blood; D003404:Creatinine / Q000097:blood; D006801:Humans; D007455:Iodine / Q000097:blood / Q000506:poisoning* / Q000652:urine; D007773:Lactates / Q000097:blood; D008297:Male; D011206:Povidone-Iodine / Q000009:adverse effects* / Q000627:therapeutic use; D012874:Skin Diseases, Infectious / Q000150:complications / Q000188:drug therapy; D040521:Subcutaneous Tissue / Q000473:pathology; D007507:Therapeutic Irrigation / Q000009:adverse effects
D000891:Anti-Infective Agents, Local; D007773:Lactates; D011206:Povidone-Iodine; D007455:Iodine; D003404:Creatinine; D002118:Calcium