Wrenn K D, Oschner I
Department of Medicine, Grady Memorial Hospital, Atlanta, Georgia.
Ann Emerg Med. 1989 Jan;18(1):94-7. doi: 10.1016/s0196-0644(89)80323-3.
We present the case of a patient who ingested approximately 3.57 g of caffeine in a suicide attempt and developed rhabdomyolysis and acute renal failure. After a delay in diagnosis, the patient was hospitalized and rapidly improved with peritoneal dialysis and volume expansion, but was left with residual impairment of renal function on discharge. This case represents a rarely reported complication of caffeine intoxication, rhabdomyolysis, which occurred in the absence of other toxins or conditions that predispose to muscle necrosis.
我们报告了一例患者,该患者在自杀未遂时摄入了约3.57克咖啡因,随后出现横纹肌溶解和急性肾衰竭。在诊断延误后,患者住院治疗,通过腹膜透析和扩容迅速好转,但出院时仍遗留肾功能残余损害。该病例代表了一种罕见报道的咖啡因中毒并发症——横纹肌溶解,其发生时不存在其他毒素或易导致肌肉坏死的情况。