Treatment of lead and arsenic poisoning in anuric patients - a case report and narrative review of the literature.

Abstract:

BACKGROUND:Heavy metal poisoning can cause debilitating illness if left untreated, and its management in anuric patients poses challenges. Literature with which to guide clinical practice in this area is rather scattered. CASE PRESENTATION:We present a case of symptomatic lead and arsenic poisoning from use of Ayurvedic medicine in a 28-year-old man with end-stage kidney disease on chronic hemodialysis. We describe his treatment course with chelating agents and extracorporeal blood purification, and review the relevant literature to provide general guidance. CONCLUSION:Cumulative clinical experience assists in identifying preferred chelators and modalities of extracorporeal blood purification when managing such patients. However, a larger body of real-world or clinical trial evidence is necessary to inform evidence-based guidelines for the management of heavy metal poisoning in anuric patients.

journal_name

BMC Nephrol

journal_title

BMC nephrology

authors

Hsiao CY,Gresham C,Marshall MR

doi

10.1186/s12882-019-1561-1

subject

Has Abstract

pub_date

2019-10-17 00:00:00

pages

374

issue

1

issn

1471-2369

pii

10.1186/s12882-019-1561-1

journal_volume

20

pub_type

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