• Pediatric emergency care · May 2013

    Case Reports

    Organophosphate poisoning-induced acute renal failure.

    • Yuval Cavari, Daniel Landau, Shaul Sofer, Tom Leibson, and Isaac Lazar.
    • Pediatric Intensive Care Unit, Department of Pediatrics A, Soroka Medical Center, Ben-Gurion University of the Negev, Beer Sheva, Israel. cavari@bgu.ac.il
    • Pediatr Emerg Care. 2013 May 1;29(5):646-7.

    BackgroundAcute kidney injury as a direct complication of organophosphate poisoning has rarely been described and its etiology is unclear.CaseA 17-year-old adolescent girl was admitted to the pediatric intensive care unit after a suicidal attempt with chlorpyrifos, an organophosphate insecticide compound. The patient developed acute kidney injury followed by renal failure, necessitating renal replacement therapy. She was treated with continuous venovenous hemofiltration with full resolution of her renal function.ConclusionsOrganophosphate poisoning can lead to renal failure, which, with proper treatment, may be reversible but, if left unattended, might aggravate the clinical course of the disease. Physicians should be aware of this rare complication.

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