A case of acute phosphate nephropathy

Loganathan, Aravinthan; Tan, Ken-Soon; Moore, John; Oliver, Kimberley

doi:10.5694/mja15.01084

Topics

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.

Online responses are no longer available. Please refer to our instructions for authors page for more information.