A Case of Salicylate-Intoxication-Induced Pseudohyperchloremia / 대한내과학회지
Korean Journal of Medicine
;
: 457-460, 2015.
Article
in Korean
| WPRIM
| ID: wpr-153842
ABSTRACT
Despite the increasing use of alternative analgesic agents, salicylate overdose remains a not-uncommon problem. Severe poisoning is life threatening, so prompt treatment and supportive measures are required to reduce mortality. Generally, salicylate intoxication results in the development of high-anion-gap metabolic acidosis. However, outside of Korea, normal-anion-gap or negative-anion-gap metabolic acidosis with hyperchloremia is rarely reported. We report herein the case of an 83-year-old female patient with chronic aspirin intake who presented with hyperchloremia and a negative anion gap. The patient's symptoms improved with conservative treatment and hemodialysis; notably, her chloride levels decreased as her blood salicylate concentrations decreased. Salicylate may cause hyperchloremia, demonstrating the importance of careful documentation of patient medication histories.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Poisoning
/
Acid-Base Equilibrium
/
Acidosis
/
Aspirin
/
Mortality
/
Renal Dialysis
/
Analgesics
/
Korea
Type of study:
Prognostic study
Limits:
Aged
/
Aged80
/
Female
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2015
Type:
Article
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