Permanent renal failure induced by pentastarch

Background. Controversy exists with volume resuscitation using crystalloids or colloids. Renal dysfunction has been reported with some colloids and osmotic agents, but remains poorly defined. Patient. We report the case of a 67-year-old male who had normal kidney function at baseline and who develop...

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Bibliographic Details
Published in:Clinical kidney journal 2008-10, Vol.1 (5), p.322-325
Main Authors: Jamal, Rahima, Ghannoum, Marc, Naud, Jean-Francois, Turgeon, Pierre-Paul, Leblanc, Martine
Format: Article
Language:English
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Case Report
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Summary:Background. Controversy exists with volume resuscitation using crystalloids or colloids. Renal dysfunction has been reported with some colloids and osmotic agents, but remains poorly defined. Patient. We report the case of a 67-year-old male who had normal kidney function at baseline and who developed anuric ARF in relation to the administration of >10 litres of 10% pentastarch. A renal biopsy confirmed hydropic changes in tubular cells compatible with colloid-induced damage. Conclusion. This case demonstrates that hydroxyethyl starch preparations may be associated with acute kidney injury, and one should carefully consider their use, especially in patients with pre-existing renal dysfunction. Osmotic tubular cell lesions may be long lasting and irreversible.
ISSN:2048-8505
1753-0784
2048-8513
1753-0792
DOI:10.1093/ndtplus/sfn075