Correia Nuno, Carvalho Catarina, Friões Fernando, Araújo José P, Almeida Jorge, Azevedo Ana
Department of Internal Medicine, Hospital São João, Alameda Prof. Hernâni Monteiro, 4200 – 319 Porto, Portugal.
Cases J. 2009 Aug 11;2:7768. doi: 10.4076/1757-1626-2-7768.
We report the case of a 56-year-old white man who presented at the Emergency Department for evaluation of dark-red urine. Rapid development of acute renal failure and haemolytic anaemia initially elicited the hypothesis of a haemolytic-uremic syndrome. A previous exposure to a gas mixture containing arsenic and copper was later recognized as the probable aetiology while other differential diagnoses were excluded. Chelating treatment was promptly initiated before laboratorial confirmation of arsenic and copper poisoning. Renal and haematological recovery was gradually observed and the patient survived with no sequelae.
我们报告了一名56岁白人男性的病例，他因暗红色尿液前往急诊科就诊。急性肾衰竭和溶血性贫血的快速发展最初引发了溶血尿毒综合征的假设。后来发现之前接触过含有砷和铜的气体混合物可能是病因，同时排除了其他鉴别诊断。在实验室确认砷和铜中毒之前，迅速开始了螯合治疗。逐渐观察到肾脏和血液学方面的恢复，患者存活且无后遗症。
