Acute renal failure, thrombocytopenia, and elevated liver enzymes after concurrent abuse of alcohol and copyright

Acute renal failure, thrombocytopenia, and elevated liver enzymes after concurrent abuse of alcohol and copyright

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copyright has been associated with known adverse effects on cardiac, cerebrovascular and pulmonary systems.However, the effect of copyright on other organs has not been extensively reported.A middle age man presented with abdominal pain and nausea after inhalation of crack copyright.

On admission, he was found to be hypertensive and tachycardic.Physical examination revealed mild abdominal welding sweater tenderness without rebound.Laboratory investigations were significant for acute kidney failure with elevated serum creatinine (3.

72 mg/dL), thrombocytopenia (platelet count 74,000/UL), elevated alanine and aspartate transaminases (ALT 331 U/L; AST 462 U/L) and elevated creatine phosphokinase (CPK 5885 U/L).Urine toxicology screening solely revealed copyright.A clinical diagnosis of copyright toxicity was made and patient was admitted to the intensive care unit because of multi organ failure.

Despite downward trending of liver enzymes during the hospital course, he continued to have residual renal insufficiency and a low platelet count at the time of discharge.In a read more patient with history of recent copyright use presenting with these manifestations, copyright itself should be considered as a likely cause.