Insuficiencia renal aguda secundaria como manifestación inicial de favismo en un adulto mayor: Caso clínico

Background: We report a 67-year-old man presenting with abdominal pain of acute onset, pallor, jaundice and behavioral changes after ingestion of fava beans. In the initial evaluation he appeared acutely ill and had resting dyspnea, edema and jaundice. His initial laboratory assessment disclosed azo...

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Autores principales:	Torres C,Demetrio, Chandía C,Mauricio
Lenguaje:	Spanish / Castilian
Publicado:	Sociedad Médica de Santiago 2012
Materias:	Favism Glucose-6-phosphate Hemolysis Jaundice
Acceso en línea:	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000800011
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spelling	oai:scielo:S0034-988720120008000112012-12-18Insuficiencia renal aguda secundaria como manifestación inicial de favismo en un adulto mayor: Caso clínicoTorres C,DemetrioChandía C,Mauricio Favism Glucose-6-phosphate Hemolysis Jaundice Background: We report a 67-year-old man presenting with abdominal pain of acute onset, pallor, jaundice and behavioral changes after ingestion of fava beans. In the initial evaluation he appeared acutely ill and had resting dyspnea, edema and jaundice. His initial laboratory assessment disclosed azotemia, elevated lactate dehydrogenase levels, a low hemoglobin concentration (4.9 /dL) and a high corrected reticulocyte count (4,7%) with negative direct and indirect Coombs' test. The patient was transferred to the ICU, where he received support therapy with hemodialysis, mechanical ventilation, vasoactive drugs and transfusions of packed red cells. The evolution after 1 month was favorable and he was discharged without anemia and with normal renal function. Three months after discharge, the glucose-6-phosphate-dehydrogenase screening study did not demonstrate detectable enzymatic activity.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.140 n.8 20122012-08-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000800011es10.4067/S0034-98872012000800011
institution	Scielo Chile
collection	Scielo Chile
language	Spanish / Castilian
topic	Favism Glucose-6-phosphate Hemolysis Jaundice
spellingShingle	Favism Glucose-6-phosphate Hemolysis Jaundice Torres C,Demetrio Chandía C,Mauricio Insuficiencia renal aguda secundaria como manifestación inicial de favismo en un adulto mayor: Caso clínico
description	Background: We report a 67-year-old man presenting with abdominal pain of acute onset, pallor, jaundice and behavioral changes after ingestion of fava beans. In the initial evaluation he appeared acutely ill and had resting dyspnea, edema and jaundice. His initial laboratory assessment disclosed azotemia, elevated lactate dehydrogenase levels, a low hemoglobin concentration (4.9 /dL) and a high corrected reticulocyte count (4,7%) with negative direct and indirect Coombs' test. The patient was transferred to the ICU, where he received support therapy with hemodialysis, mechanical ventilation, vasoactive drugs and transfusions of packed red cells. The evolution after 1 month was favorable and he was discharged without anemia and with normal renal function. Three months after discharge, the glucose-6-phosphate-dehydrogenase screening study did not demonstrate detectable enzymatic activity.
author	Torres C,Demetrio Chandía C,Mauricio
author_facet	Torres C,Demetrio Chandía C,Mauricio
author_sort	Torres C,Demetrio
title	Insuficiencia renal aguda secundaria como manifestación inicial de favismo en un adulto mayor: Caso clínico
title_short	Insuficiencia renal aguda secundaria como manifestación inicial de favismo en un adulto mayor: Caso clínico
title_full	Insuficiencia renal aguda secundaria como manifestación inicial de favismo en un adulto mayor: Caso clínico
title_fullStr	Insuficiencia renal aguda secundaria como manifestación inicial de favismo en un adulto mayor: Caso clínico
title_full_unstemmed	Insuficiencia renal aguda secundaria como manifestación inicial de favismo en un adulto mayor: Caso clínico
title_sort	insuficiencia renal aguda secundaria como manifestación inicial de favismo en un adulto mayor: caso clínico
publisher	Sociedad Médica de Santiago
publishDate	2012
url	http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872012000800011
work_keys_str_mv	AT torrescdemetrio insuficienciarenalagudasecundariacomomanifestacioninicialdefavismoenunadultomayorcasoclinico AT chandiacmauricio insuficienciarenalagudasecundariacomomanifestacioninicialdefavismoenunadultomayorcasoclinico
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Insuficiencia renal aguda secundaria como manifestación inicial de favismo en un adulto mayor: Caso clínico

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