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Colchicine Overdose-Induced Acute Renal Failure and Electrolyte Imbalance
Authors:Wen-Hung Huang  Ching-Wei Hsu
Affiliation:1. Department of Nephrology, Chang Gung Memorial Hospital, Linkou, Taiwan, R.O.C.;2. Chang Gung University College of Medicine, Taoyuan, Taiwan, R.O.C.
Abstract:Colchicine has been used to control gouty arthritis for long time; colchicine overdose, however, causes multiple organ dysfunction. To date, no investigation has revealed the site of kidney lesion or dysfunction. This investigation describes the case of a male with a history of gout who ingested a large amount of colchicine and developed renal, hematopoietic, gastrointestinal, muscular, electrolytic, and hepatic disorder. Glucosuria was noted during hospital days. Colchicine intoxication is shown to induce proximal tubule damage. Severe electrolytes imbalance was noted, including hypomagnesemia, hypophosphatemia, and hypocalcemia. After management, the renal function and serum electrolyte of the patient recovered on the sixth day of hospitalization.
Keywords:colchicine  electrolyte imbalance  acute renal failure  multiple organ failure
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