2014 Volume 5 Issue 1 Pages 88-91
[Background] Sodium bromate intoxication causes acute kidney injury and hearing loss, and often leads to chronic renal failure. We report a patient who developed acute kidney injury and hearing loss due to intoxication with sodium bromate solution. She was successfully treated with continuous renal replacement therapy (CRRT) and intermittent hemodialysis (IHD). [Case] A 68-year-old female ingested a cold wave neutralizer containing sodium bromate in a suicide attempt. At admission to our ICU, her circulation and respiratory status were stable, with normal laboratory data. However, she developed rapid hearing impairment and anuria on the first hospital day, and high flow-volume CRRT was performed. On the third hospital day, the amount of blood purification was further increased, and IHD was performed. Her renal function gradually recovered, allowing the discontinuation of renal replacement therapy. Her hearing ability improved day by day. She was transferred to another hospital on the 20th hospital day. [Conclusion] Rapid removal of bromate by early induction of blood purification therapy is important to prevent severe organ dysfunction.
