open access

Vol 44, No 2 (2012 Apr-Jun)
Case reports
Published online: 2012-08-08
Submitted: 2012-07-05
Accepted: 2012-07-05
Get Citation

Acute kidney failure complicating carbon monoxide poisoning

Grzegorz Kade, Agnieszka Osman, Stefan Antosiewicz, Zofia Wańkowicz
Anaesthesiol Intensive Ther 2012;44(2):89-91.

open access

Vol 44, No 2 (2012 Apr-Jun)
Case reports
Published online: 2012-08-08
Submitted: 2012-07-05
Accepted: 2012-07-05

Abstract

BACKGROUND: Carbon monoxide, albeit common, is rarely associated with renal failure. We report a case of CO-associated kidney failure requiring short-term dialysis.

CASE REPORT: A 33 year-old male was found unconscious in a bathroom equipped with a propane-gas heater. The duration of exposure to carbon monoxide was unknown. The patient was transported to a regional hyperbaric centre; the carboxyhaemoglobin concentration in the blood on admission was 38.3%. After 60 min of exposure to hyperbaric oxygen, he regained consciousness and was transferred to the toxicology department. Mild rhabdomyolysis with acute kidney failure was diagnosed and despite two subsequent hyperbaric sessions, haemodialysis was necessary. The kidney failure resolved within two weeks, and the patient made a full recovery.

DISCUSSION AND CONCLUSIONS: Carbon monoxide mainly affects the central nervous system and the myocardium; renal failure may occur due to rhabdomyolysis and hypoxia. Therefore, all CO-poisoned patients should be closely monitored for their renal function.

Abstract

BACKGROUND: Carbon monoxide, albeit common, is rarely associated with renal failure. We report a case of CO-associated kidney failure requiring short-term dialysis.

CASE REPORT: A 33 year-old male was found unconscious in a bathroom equipped with a propane-gas heater. The duration of exposure to carbon monoxide was unknown. The patient was transported to a regional hyperbaric centre; the carboxyhaemoglobin concentration in the blood on admission was 38.3%. After 60 min of exposure to hyperbaric oxygen, he regained consciousness and was transferred to the toxicology department. Mild rhabdomyolysis with acute kidney failure was diagnosed and despite two subsequent hyperbaric sessions, haemodialysis was necessary. The kidney failure resolved within two weeks, and the patient made a full recovery.

DISCUSSION AND CONCLUSIONS: Carbon monoxide mainly affects the central nervous system and the myocardium; renal failure may occur due to rhabdomyolysis and hypoxia. Therefore, all CO-poisoned patients should be closely monitored for their renal function.

Get Citation

Keywords

complications, kidney failure; gases, carbon monoxide; poisoning

About this article
Title

Acute kidney failure complicating carbon monoxide poisoning

Journal

Anaesthesiology Intensive Therapy

Issue

Vol 44, No 2 (2012 Apr-Jun)

Pages

89-91

Published online

2012-08-08

Bibliographic record

Anaesthesiol Intensive Ther 2012;44(2):89-91.

Keywords

complications
kidney failure
gases
carbon monoxide
poisoning

Authors

Grzegorz Kade
Agnieszka Osman
Stefan Antosiewicz
Zofia Wańkowicz

Important: This website uses cookies.tanya dokter More >>

The cookies allow us to identify your computer and find out details about your last visit. They remembering whether you've visited the site before, so that you remain logged in - or to help us work out how many new website visitors we get each month. Most internet browsers accept cookies automatically, but you can change the settings of your browser to erase cookies or prevent automatic acceptance if you prefer.

VM Media sp. z o.o. VM Group sp.k., Grupa Via Medica, Świętokrzyska 73 St., 80–180 Gdańsk

tel.:+48 58 320 94 94, faks:+48 58 320 94 60, e-mail: viamedica@viamedica.pl