Naslov
Acute carbon monoxide poisoning as the cause of rhabdomyolysis and acute renal failure.

Autori
Šefer, Siniša ; Degoricija, Vesna ; Bilić, Branko ; Trotić, Robert ; Milanović-Stipković, Branka ; Raković-Gusić, Iva ; Kes, Petar

Izvornik
Acta medica Croatica (1330-0164) 53 (1999), 4/5; 199-202

Vrsta, podvrsta i kategorija rada
Radovi u časopisima, članak, znanstveni

Ključne riječi
carbon monoxide poisoning ; rhabdomyolysis ; acute renal failure ;
(carbon monoxide poisoning ; rhabdomyolysis ; acute renal failure)

Sažetak
Acute renal failure (ARF) is a severe complication of acute CO poisoning which, combined with other organ lesions, may result in lethal outcome. In all vague cases of ARF with nontraumatic rhabdomyolysis, CO poisoning should be considered as a possible etiologic factor. The diagnosis is made on the basis of several simple laboratory tests: determination of carboxyhemoglobin concentration, demonstration of myoglobin in urine or pigment granulated cylindres in urinary sediment, positive orthotoluidine test, and high CPK values originating from skeletal musculature. Many authors report on excellent prognosis in ARF due to nontraumatic rhabdomyolysis of various causes. Our case report shows that the prognosis of CO poisoned patient greatly depends on timely and appropriate treatment, severity of damage to other organs, and success of the treatment of complications such as hospital infections.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA