Poisoning-Induced Acute Kidney Injury: A Review

Author:

Yu Ching-Hsiang1ORCID,Huang Lan-Chi2,Su Yu-Jang13456ORCID

Affiliation:

1. Department of Emergency Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan

2. Department of Emergency Medicine, MacKay Memorial Hospital, Tamshui Branch, New Taipei City 251020, Taiwan

3. Toxicology Division, Department of Emergency Medicine, MacKay Memorial Hospital, Taipei 10449, Taiwan

4. Department of Medicine, MacKay Medical College, New Taipei City 25245, Taiwan

5. MacKay Junior College of Medicine, Nursing, and Management, Taipei 11260, Taiwan

6. Department of Nursing, Yuanpei University of Medical Technology, Hsinchu 300, Taiwan

Abstract

Acute kidney injury (AKI) is a debilitating, multi-etiological disease that is commonly seen in clinical practice and in the emergency department. In this review, we introduce the definition, symptoms, and causes of poisoning-related AKI; we also discuss its mechanisms, risk factors, and epidemiology, as well as elaborate on the relevant laboratory tests. Subsequently, we discuss the treatment strategies for toxin- and substance-related AKI caused by Glafenin, antimicrobial agents, lithium, contrast media, snake venom, herbicides, ethylene glycol, synthetic cannabinoids, cocaine, heroin, and amphetamines. Finally, for a comprehensive overview of poisoning-related AKI, we review the management, prevention, and outcomes of this condition.

Publisher

MDPI AG

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