Acetazolamide Intoxication in an Elderly Patient with Diabetes and Chronic Renal Failure after Cataract Surgery
Joint Authors
Wawrzeniak, Iuri Christmann
Kerber, Juliana Maria
de Mello, Juliana Dias
Moura, Karolinny Borinelli de Aquino
da Silva, Gustavo Cardoso
Rech, Tatiana Helena
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-02-01
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Carbonic anhydrase inhibitors, such as acetazolamide, are widely used in the treatment of open-angle glaucoma.
Severe metabolic acidosis is a rare complication of acetazolamide use, and life-threatening acidosis occurs most commonly in elderly patients, in patients with advanced renal failure, and in patients with diabetes.
We describe an unusual case of an elderly patient with diabetic nephropathy and chronic renal failure who presented to the emergency department with severe metabolic acidosis and coma after exposure to high doses of acetazolamide in the postoperative period of ophthalmic surgery.
As symptoms of acetazolamide intoxication and uremia are similar, high suspicion is required to detect excessive plasma drug concentrations and intoxication in patients presenting with concomitant uremia.
Clinical symptoms are potentially reversible with prompt diagnosis and treatment, including supportive treatment, bicarbonate therapy, and renal replacement therapy.
Hemodialysis is particularly helpful in the management of acetazolamide overdose as the medication is dialyzable.
American Psychological Association (APA)
Kerber, Juliana Maria& de Mello, Juliana Dias& Moura, Karolinny Borinelli de Aquino& da Silva, Gustavo Cardoso& Wawrzeniak, Iuri Christmann& Rech, Tatiana Helena. 2020. Acetazolamide Intoxication in an Elderly Patient with Diabetes and Chronic Renal Failure after Cataract Surgery. Case Reports in Critical Care،Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1146272
Modern Language Association (MLA)
Kerber, Juliana Maria…[et al.]. Acetazolamide Intoxication in an Elderly Patient with Diabetes and Chronic Renal Failure after Cataract Surgery. Case Reports in Critical Care No. 2020 (2020), pp.1-3.
https://search.emarefa.net/detail/BIM-1146272
American Medical Association (AMA)
Kerber, Juliana Maria& de Mello, Juliana Dias& Moura, Karolinny Borinelli de Aquino& da Silva, Gustavo Cardoso& Wawrzeniak, Iuri Christmann& Rech, Tatiana Helena. Acetazolamide Intoxication in an Elderly Patient with Diabetes and Chronic Renal Failure after Cataract Surgery. Case Reports in Critical Care. 2020. Vol. 2020, no. 2020, pp.1-3.
https://search.emarefa.net/detail/BIM-1146272
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1146272