Falla renal aguda por fenazopiridina: Report of one case

A 27 years old woman was admitted due to abdominal cramps, jaundice and oligoanuria, starting 48 hours after eating Chinese food. Hepatic biochemical tests, abdominal ultrasound and retrograde pyelography were normal. The urine was intensely orange colored and microscopic analysis was normal. The se...

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Autor principal: Vega S.,Jorge
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2003
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000500010
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spelling oai:scielo:S0034-988720030005000102004-12-13Falla renal aguda por fenazopiridina: Report of one caseVega S.,Jorge Kidney failure, acute Malingering Phenazopyridine A 27 years old woman was admitted due to abdominal cramps, jaundice and oligoanuria, starting 48 hours after eating Chinese food. Hepatic biochemical tests, abdominal ultrasound and retrograde pyelography were normal. The urine was intensely orange colored and microscopic analysis was normal. The serum creatinine and urea nitrogen on admission were 4.59 and 42.5 mg/dl and rose to 13.5 and 72.4 mg/dl, respectively, at the 6th hospital day. Oliguria lasted only 48 hours. Dialysis was not used, since the patient was in good general condition and uremic symptoms were absent. On the 7th day, azotemia began to subside and at the 14th day, serum creatinine was 1.0 mg/dl. Before hospital discharge, she confessed the ingestion of 2.000 mg of phenazopyridine, during a nervous breakdown, aiming to sleep deeply. Remarkable was the persistence of the orange color of her urine during several days and the dissociation between the rate of increase of serum creatinine with respect to urea nitrogen. This is an unusual case of acute renal failure caused by an overdose of a drug, commonly prescribed for urinary tract infections (Rev Méd Chile 2003; 131: 541-4).info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.131 n.5 20032003-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000500010es10.4067/S0034-98872003000500010
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Kidney failure, acute
Malingering
Phenazopyridine
spellingShingle Kidney failure, acute
Malingering
Phenazopyridine
Vega S.,Jorge
Falla renal aguda por fenazopiridina: Report of one case
description A 27 years old woman was admitted due to abdominal cramps, jaundice and oligoanuria, starting 48 hours after eating Chinese food. Hepatic biochemical tests, abdominal ultrasound and retrograde pyelography were normal. The urine was intensely orange colored and microscopic analysis was normal. The serum creatinine and urea nitrogen on admission were 4.59 and 42.5 mg/dl and rose to 13.5 and 72.4 mg/dl, respectively, at the 6th hospital day. Oliguria lasted only 48 hours. Dialysis was not used, since the patient was in good general condition and uremic symptoms were absent. On the 7th day, azotemia began to subside and at the 14th day, serum creatinine was 1.0 mg/dl. Before hospital discharge, she confessed the ingestion of 2.000 mg of phenazopyridine, during a nervous breakdown, aiming to sleep deeply. Remarkable was the persistence of the orange color of her urine during several days and the dissociation between the rate of increase of serum creatinine with respect to urea nitrogen. This is an unusual case of acute renal failure caused by an overdose of a drug, commonly prescribed for urinary tract infections (Rev Méd Chile 2003; 131: 541-4).
author Vega S.,Jorge
author_facet Vega S.,Jorge
author_sort Vega S.,Jorge
title Falla renal aguda por fenazopiridina: Report of one case
title_short Falla renal aguda por fenazopiridina: Report of one case
title_full Falla renal aguda por fenazopiridina: Report of one case
title_fullStr Falla renal aguda por fenazopiridina: Report of one case
title_full_unstemmed Falla renal aguda por fenazopiridina: Report of one case
title_sort falla renal aguda por fenazopiridina: report of one case
publisher Sociedad Médica de Santiago
publishDate 2003
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872003000500010
work_keys_str_mv AT vegasjorge fallarenalagudaporfenazopiridinareportofonecase
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