A Case of Acute Renal Failure and Other Symptoms Associated with Phytolacca Radix Poisoning.
- Author:
Kyung Heon WON
;
Chae Nam IM
;
Wook Ryeul CHOI
;
Sang Hee LEE
;
Yun Sook CHO
;
Sin Eun CHOI
;
Sam Sik KANG
- Publication Type:Case Report
- Keywords:
Phytolaccae;
Acute renal failure;
Acute tubular necrosis;
Poisoning
- MeSH:
Abdominal Pain;
Acute Kidney Injury*;
Adult;
Azotemia;
Biopsy;
Diarrhea;
Hemofiltration;
Humans;
Hypotension;
Kidney;
Lower Extremity;
Male;
Nausea;
Necrosis;
Oliguria;
Paresthesia;
Phytolacca*;
Poisoning*;
Pruritus;
Renal Dialysis;
Tachycardia;
Vomiting
- From:Korean Journal of Nephrology
1998;17(4):644-648
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Phytolaccae had been used as a pharmaceutical drug or food But nowadays, due to its toxicity, Phytolaccae is rarely used and cases of patients poisoned with it are seldom reported. The case presented here was of 43 year-old male who after ingesting extract of Phytolacca esculenta suffered from abdominal pain, diarrhea, nausea, vomiting, tachycardia, hypotension, pruritus, paresthesia, oliguria and azotemia. Kidney biopsy revealed tubular necrosis and some protein casts in tubular lumens. These findings suggested that acute renal failure was mainly caused by nephrotoxicity of Phytolacca extracts. Through continuous arteriovenous hemofiltration and two times of hemodialysis, he was completely recovered from acute renal failure. Other symptoms also disappeared by symptomatic management, but paresthesia of both lower extremities still remained. So we reported this case with a brief review of literature.
