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Official publication of the Indian Society of Nephrology
 
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Intravascular hemolysis, methemogolbinemia and acute renal failure in a young female


1 Senior Consultant, Max Super Specialty Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India
2 Medicine, Max Super Specialty Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India
3 Nephrology, Max Super Specialty Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India

Correspondence Address:
Saurabh Puri,
House No 1111, Shahganj, Kujada Ka Bag, Sultanpur City, Sultanpur - 228 001, Faizabad, Uttar Pradesh
India
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ijn.ijn_410_21

Copper sulfate occurs as large blue crystals in nature, commonly known as “blue vitriol” or “blue stone.” It is a potentially lethal poison with significant mortality. Copper sulfate is a powerful oxidizing agent and causes corrosive injury to the mucous membrane. The clinical course involves intravascular hemolysis resulting in anemia, jaundice, and renal failure. Laboratory diagnosis of the condition is not an issue; the difficulty is suspecting it, promptly initiating chelation therapy, and other supportive symptomatic treatment. We present a case of copper sulfate poisoning in a young female with suicidal intent resulting in severe acute toxicity, which was successfully managed by copper chelator (d-Penicillamine) and other supportive measures.


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    -  Gupta A
    -  Puri S
    -  Aggarwal NP
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Indian Journal of Nephrology
Published by Wolters Kluwer - Medknow
Online since 20th Sept '07