International Journal of Nephrology and Renovascular Disease (Nov 2013)

A case of bismuth intoxication with irreversible renal damage

  • Erden A,
  • Karahan S,
  • Bulut K,
  • Basak M,
  • Aslan T,
  • Cetinkaya A,
  • Karagoz H,
  • Avci D

Journal volume & issue
Vol. 2013, no. default
pp. 241 – 243

Abstract

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Abdulsamet Erden, Samet Karahan, Kadir Bulut, Mustafa Basak, Tuncay Aslan, Ali Cetinkaya, Hatice Karagoz, Deniz Avci Internal Medicine Department, Kayseri Training and Research Hospital, Kayseri, Turkey Abstract: Bismuth is a chemical element symbolized as Bi and is a trivalent poor metal, which chemically resembles arsenic and antimony. Colloidal bismuth subcitrate (CBS) and bismuth subsalicylate are the bismuth salts widely used in the treatment of peptic ulcers, functional dyspepsia, and chronic gastritis. Intoxications with CBS are rare. In a few case reports, acute renal failure was described, but the literature review revealed no chronic renal failure related to CBS intoxication. In this case report we present a 21-year old female with chronic renal failure after a one year follow-up of CBS intoxication. Keywords: acute renal failure, bismuth, intoxication, chronic renal failure