Ischemic Acute Tubular Necrosis due to Diltiazem Overdose

被引：2

作者：

Ryuge, Akihiro ^{[1
]}

Shimizu, Hideaki ^{[1
]}

Ohyama, Yukako ^{[1
]}

Yamaguchi, Makoto ^{[2
]}

Nomura, Atsushi ^{[3
]}

Maruyama, Shoichi ^{[2
]}

Kitamura, Hiroshi ^{[4
]}

Fujita, Yoshiro ^{[3
]}

机构：

[1] Chubu Rosai Hosp, Dept Nephrol, Nagoya, Aichi, Japan

[2] Nagoya Univ, Grad Sch Med, Dept Nephrol, Nagoya, Aichi 4648601, Japan

[3] Chubu Rosai Hosp, Dept Rheumatol, Nagoya, Aichi, Japan

[4] Natl Hosp Org Chiba East Hosp, Clin Res Ctr, Chiba, Japan

来源：

INTERNAL MEDICINE | 2016年 / 55卷 / 09期

关键词：

diltiazem overdose; acute kidney injury; ischemic acute tubular necrosis; INTOXICATION; VERAPAMIL; MANAGEMENT;

D O I：

10.2169/internalmedicine.55.5232

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Diltiazem overdose has a high mortality rate due to cardiotoxicity associated with bradycardia and hypotension. A previous article reported that this type of overdose can cause acute tubular necrosis, which was not pathologically, but rather clinically, diagnosed. We herein report the case of a 55-year-old man who sustained nonoliguric acute kidney injury after taking 60 diltiazem tablets. A kidney biopsy performed six days after admission showed ischemic, not toxic, acute tubular necrosis. The patient's kidney function improved spontaneously. In this case report, we clarify the cause of renal impairment caused by diltiazem overdose pathologically. Physicians should therefore consider ischemic acute tubular necrosis as a cause of kidney injury in patients with diltiazem overdose.

引用

页码：1149 / 1151

页数：3

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