A CASE OF ACUTE RENAL FAILURE DUE TO ARSENIURETTED HYDROGEN POISONING UNDERGONE A LONG-TERM PERITONEAL DIALYSIS

Abstract

Arseniuretted hydrogen poisoning is a rare form of acute poisoning which occurs as a disaster, espesially inducing acute renal failure. Case report of this poisoning has been quite rare. We have experienced a case of acute renal failure due to arseniuretted hydrogen poisoning which occurred as the result of an accident in a factory. Despite peritoneal dialysis for as long as 32 days, fetal outcome could not be avoided and autopsy was performed. A 33 year old male inhalted a large amount of arseniuretted hydrogen gas on January 1, 1966 during the process of cadmium and throwing a zinc powder in a electrical refining company. Following the initial lumbago of an intense degree, emesis was experienced on the second day. Upon development of general malaire, jaundice and anuria, patient was hospitalized on the third day. A pronounced hemolytic anemia and azotemia prompted the use of hemodialysis with an artificial kidney. BAL was used for arsenic hydrate poisoning, togather with fresh blood. For renal insufficiency, 50% glucose solution containing insulin was infused through a catheter introduced into the vena cava, as a symptomatic treatment. From the fifth day peritoneal lavage was carried out for 32 days. Hemolysis gradually subsided and the urinary volume reached at times one liter. On January 21, a convulsive seizure was suddenly noted. Due to the development of pulmonary edema tracheotomy was carried out. General state of the patient gradually became poorer until the patient died on the 36th day of the illness. The cause of death was pulmonary suppuration.