Chronic Copper Sulfate Poisoning.

Autor: Perestrelo AP; Centro Hospitalar Universitário Cova da Beira, Alameda Pêro da Covilhã, Covilhã, Portugal., Miranda G; Centro Hospitalar Universitário Cova da Beira, Alameda Pêro da Covilhã, Covilhã, Portugal., Gonçalves MI; Centro Hospitalar Universitário Cova da Beira, Alameda Pêro da Covilhã, Covilhã, Portugal., Belino C; Centro Hospitalar Universitário Cova da Beira, Alameda Pêro da Covilhã, Covilhã, Portugal., Ballesteros R; Centro Hospitalar Universitário Cova da Beira, Alameda Pêro da Covilhã, Covilhã, Portugal.
Jazyk: angličtina
Zdroj: European journal of case reports in internal medicine [Eur J Case Rep Intern Med] 2021 Feb 17; Vol. 8 (3), pp. 002309. Date of Electronic Publication: 2021 Feb 17 (Print Publication: 2021).
DOI: 10.12890/2021_002309
Abstrakt: Copper, as a salt, is toxic and has the potential to harm multiple organs. Copper intoxication causes intravascular haemolysis followed by liver and kidney failure that can be fatal. We present a case of chronic copper sulfate poisoning in a 66-year-old man with dysphagia to solids and liquids, anaemia, acute kidney injury, liver cytolysis and hypocalcaemia. The patient improved with supportive care, but chronic kidney disease was established. Anamnesis was crucial for the diagnosis, given the non-specific signs and symptoms. The history of chronic exposure to pest treatment with a blue dust cloud made us suspect copper sulfate poisoning.
Learning Points: Copper sulfate poisoning is a relatively uncommon illness nowadays but can still be seen in clinical practice and should be kept in mind.It has non-specific signs and symptoms such as dysgeusia, abdominal pain, vomiting, muscle cramps or spasms, diarrhoea, ink-like urine, jaundice, anaemia and seizures.The diagnosis is based on clinical presentation and laboratory examinations upon a history of exposure to copper sulfate-containing products.
Competing Interests: Conflicts of Interests: The Authors declare that there are no competing interests.
(© EFIM 2021.)
Databáze: MEDLINE