Sangüesa Molina J R, Macía Heras M L
Servicio de Anestesiología, Complejo Hospitalario Nuestra Señora de la Candelaria, Santa Cruz de Tenerife.
An Med Interna. 1999 Sep;16(9):461-2.
A case of acute oliguric renal failure secondary to poisoning by acetic acid (AA) is described. The patient presents caustic damage in the mucous digestive, myoglobinuria, thrombopaenia, elevation of the enzymes of damage tissular and acute hepatic affectation. To the entrance, the patient show a good hemodynamic state and the hematologic study discarded the hemolysis presence, what allowed to establish the direct action of the AA on the kidney like cause of the oliguric failure renal next to the tubular toxic effect of the myoglobin. The oral ingesta of AA is an unusual fact and its relationship with the acute renal failure it has not been communicated previously in our country.