Colchicine Overdose-Induced Acute Renal Failure and Electrolyte Imbalance

Colchicine has been used to control gouty arthritis for long time; colchicine overdose, however, causes multiple organ dysfunction. To date, no investigation has revealed the site of kidney lesion or dysfunction. This investigation describes the case of a male with a history of gout who ingested a large amount of colchicine and developed renal, hematopoietic, gastrointestinal, muscular, electrolytic, and hepatic disorder. Glucosuria was noted during hospital days. Colchicine intoxication is shown to induce proximal tubule damage. Severe electrolytes imbalance was noted, including hypomagnesemia, hypophosphatemia, and hypocalcemia. After management, the renal function and serum electrolyte of the patient recovered on the sixth day of hospitalization.

[1]  Z. Odabaşı,et al.  Colchicine-induced myopathy with myotonia in a patient with chronic renal failure , 2003, Clinical Neurology and Neurosurgery.

[2]  H. Atmaca,et al.  Rhabdomyolysis Associated with Gemfibrozil—Colchicine Therapy , 2002, The Annals of pharmacotherapy.

[3]  B. Modarai,et al.  Toxicity of brake oil , 2002, Emergency medicine journal : EMJ.

[4]  P. Meek,et al.  Fatal colchicine overdose: report of a case and review of the literature. , 1998, The American journal of emergency medicine.

[5]  R. L. Hood Intoxication a la colchicine , 1994 .

[6]  J. Scherrmann,et al.  MODEL‐INDEPENDENT PHARMACOKINETICS OF COLCHICINE AFTER ORAL ADMINISTRATION TO HEALTHY VOLUNTEERS , 1989, Fundamental & clinical pharmacology.

[7]  D. Kingma,et al.  Fatal colchicine toxicity. , 1989, The American journal of medicine.

[8]  Kramlinger Kg,et al.  Acute toxicity after excessive ingestion of colchicine. , 1983 .

[9]  J. Stapczynski,et al.  Colchicine overdose: report of two cases and review of the literature. , 1981, Annals of emergency medicine.

[10]  J. Pinkhas,et al.  Fatal colchicine poisoning in a boy with familial Mediterranean fever. , 1979, The American journal of the medical sciences.

[11]  Y. Liu,et al.  Marrow aplasia induced by colchicine. A case report. , 1978, Arthritis and rheumatism.

[12]  R. Rodvien,et al.  Colchicine toxicity: a multisystem disease. , 1977, Archives of internal medicine.

[13]  D. Heath,et al.  The hypocalcemic action of colchicine. , 1972, Endocrinology.

[14]  G. Stemmermann,et al.  Colchicine intoxication: A reappraisal of its pathology based on a study of three fatal cases , 1971 .

[15]  G. Borisy,et al.  THE MECHANISM OF ACTION OF COLCHICINE , 1967, The Journal of cell biology.

[16]  R. Howell,et al.  THE RENAL EXCRETION OF URIC ACID IN GOUT. , 1962, The Journal of clinical investigation.

[17]  E. F. Hartung History of the Use of Colchicum and related Medicaments in Gout , 1954, Annals of the rheumatic diseases.

[18]  P. Furfori,et al.  Colchicine toxicity--clinical features and treatment. Massive overdose case report. , 1995, Journal of toxicology. Clinical toxicology.

[19]  J. Macleod,et al.  Hypersensitivity to Colchicine , 1947, Annals of the rheumatic diseases.