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A case of acute phosphate nephropathy

Aravinthan Loganathan, Ken-Soon Tan, John Moore and Kimberley Oliver
Med J Aust 2016; 204 (5): . || doi: 10.5694/mja15.01084
Published online: 21 March 2016

A 74-year-old woman presented with a 2-day history of abdominal pain and nausea, 1 week after undergoing upper and lower endoscopies. Her comorbidities included hypertension, dyslipidaemia, sigmoid diverticulosis, transient ischaemic attack, peripheral vascular disease and mild valvular heart disease.


  • 1 Logan Hospital, Brisbane, QLD
  • 2 Princess Alexandra Hospital, Brisbane, QLD


Correspondence: aravi.loganathan@gmail.com

Competing interests:

No relevant disclosures.

  • 1. Markowitz GS, Stokes MB, Radharkrishnan J, D’Agati VD. Acute phosphate nephropathy following oral sodium phosphate bowel purgative: an underrecognized cause of chronic renal failure. J Am Soc Nephrol 2005; 16: 3389-3396.
  • 2. Ori Y, Rozen-Zvi B, Chagnac A, et al. Fatalities and severe metabolic disorders associated with the use of sodium phosphate enemas: a single center’s experience. Arch Intern Med 2012; 172: 263-265.
  • 3. Heher EC, Thier SO, Rennke H, Humphreys BD. Adverse renal and metabolic effects associated with oral sodium phosphate bowel preparation. Clin J Am Soc Nephrol 2008; 3: 1494-1503.
  • 4. Palmadottir VK, Gudmundsson H, Hardarson S, et al. Incidence and outcome of acute phosphate nephropathy in Iceland. PLoS One 2010; 5: e13484.

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