상륙 중독에 의해 급성 신부전 및 기타 증상이 발현되었던 1예

• Published in: Kidney research and clinical practice Vol. 17; no. 4; pp. 644 - 648
• Main Authors: 원경헌, Kyung Heon Won, 임채남, Chae Nam Im, 최욱렬, Wook Ryeul Choi, 이상희, Sang Hee Lee, 조윤숙, Yun Sook Cho, 최신은, Sin Eun Choi, 강삼식, Sam Sik Kang
• Format: Journal Article
• Language: Korean
• Published: 대한신장학회 30-07-1998
• Subjects: Acute renal failure; Acute tubular necrosis; Phytolaccae; Poisoning
• ISSN: 2211-9132

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 pre- sented 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 li- terature.