Vágási Katalin, Degrell Péter, Késoi István, Kovács Tibor, Pintér István, Molnár Béla, Cseh Judit, Nagy Judit, Wittmann István
Pécsi Tudományegyetem, Altalános Orvostudományi Kar II. Belgyógyászati Klinika és Nephrológiai Centrum, Pécs, Hungary.
Orv Hetil. 2007 Mar 4;148(9):421-4. doi: 10.1556/OH.2007.27954.
The authors review the case of a 30 years old female patient presenting with a 48 hours-standing anuria, who permanently used products of grist of a virtuous plant, Guarana and occasionally used a parenteral non-steroid painkiller. The clinical history and laboratory results showed acute renal and hepatic failure. The histological picture of the renal biopsy specimen verified an acute tubular necrosis. After temporary dialysis treatment, her renal function recovered progressively with compensatory polyuria. The authors would like to draw the attention to the risks of the use of over-the-counter marketed paramedicinal products, per se or in combination with pharmaceutically registered products, sold in pharmacies and nutrition supplement stores.
作者回顾了一名30岁女性患者的病例，该患者出现了48小时无尿，长期使用一种良性植物瓜拉那的研磨产品，偶尔使用一种非甾体类注射用止痛药。临床病史和实验室检查结果显示急性肾和肝功能衰竭。肾活检标本的组织学图像证实为急性肾小管坏死。经过临时透析治疗后，她的肾功能逐渐恢复，并伴有代偿性多尿。作者希望提醒人们注意在药店和营养补充剂商店销售的非处方准药品单独使用或与药品注册产品联合使用的风险。
