Studium trvalých následků intoxikací hepatotoxickými a nefrotoxickými látkami

The aim of our study was to evaluate the severity of hepatic and kidney damage retrospectively in the years between 2000 and 2004 with a focus on their reversibility, and to analyse the prognostic factors following Amanita phalloides (Am. ph., mainly hepatotoxic agent) and ethylene glycol (EG, nephr...

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Bibliographic Details
Main Author: Křenová, Martina
Other Authors: Pelclová, Daniela
Format: Doctoral Thesis
Language:Czech
Published: 2007
Online Access:http://www.nusl.cz/ntk/nusl-283404
Description
Summary:The aim of our study was to evaluate the severity of hepatic and kidney damage retrospectively in the years between 2000 and 2004 with a focus on their reversibility, and to analyse the prognostic factors following Amanita phalloides (Am. ph., mainly hepatotoxic agent) and ethylene glycol (EG, nephrotoxic liquid) based on the calls made to the Czech Toxicological Information Centre and analyses made by toxicological laboratories. Analysis relied on data from medical records. A variety of clinical and laboratory parameters were collected. Fisher's test, Student's t-test and the calculation of linear correlation coefficients were used for statistical analysis. Twenty-four of 206 case-patients with EG intoxication were children. Fifty of 158 adult patients who survived, developed signs of nephrotoxicity. In 19 patients renal function normalized up to one month following the intoxication. Total 21 patients were followed-up as out-patients. Renal function completely recovered in 13 patients during 6 months and in three patients during 8-24 moths following the intoxication. The serum creatinine level was only mild elevated (119 |imol/l) in other two patients. However, their follow-up finished. In three patients renal damage persisted, serum creatinine level 138-200 (imol/1, in 19-26 months after discharge from...