A Case of Severe Metabolic Acidosis Associated with Sodium Hypochlorite (Bleach) Poisoning Treated by Hemodialysis / 대한내과학회지
Korean Journal of Medicine
; : 600-604, 2011.
Article
in Korean
| WPRIM (Western Pacific)
| ID: wpr-68582
Responsible library:
WPRO
ABSTRACT
Sodium hypochlorite (NaOCl) is commonly used as a disinfectant or bleaching agent. The ingestion of household bleach is often benign, with minimal irritating effect on the mucosa. Occasionally, however, it can be life-threatening. Here, we report an unusual case of acute poisoning involving household bleach with a near-fatal outcome that was treated with intense hemodialysis. A 42-year-old woman presented to the emergency room after ingesting 1 liter of 5% household bleach. Ten hours later, her metabolic acidosis, hypernatremia, hyperchloremia, and renal failure deteriorated gradually, despite aggressive medical treatment. Rapid, effective correction of the metabolic acidosis and electrolytes imbalance was needed and hemodialysis was performed immediately. After 3 days of dialysis, the laboratory imbalance was completely corrected.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Sodium
/
Sodium Hypochlorite
/
Acidosis
/
Family Characteristics
/
Renal Dialysis
/
Dialysis
/
Eating
/
Electrolytes
/
Emergencies
/
Renal Insufficiency
Limits:
Adult
/
Female
/
Humans
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2011
Document type:
Article