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KMID : 0882420110800050600
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Korean Journal of Medicine
2011 Volume.80 No. 5 p.600 ~ p.604
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A Case of Severe Metabolic Acidosis Associated with Sodium Hypochlorite (Bleach) Poisoning Treated by Hemodialysis
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Bae Sung-Chang
Moon Sung-Jin
Kim Jwa-Kyung
Jang Sung-Ill
Park Hyeong-Cheon
Ha Sung-Kyu
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Abstract
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Sodium hypochlorite (NaOCl) is commonly used as a disinfectant or bleaching agent. The ingestion of household bleach is often benign, with minimal irritating effect on the mucosa. Occasionally, however, it can be life-threatening. Here, we report an unusual case of acute poisoning involving household bleach with a near-fatal outcome that was treated with intense hemodialysis. A 42-year-old woman presented to the emergency room after ingesting 1 liter of 5% household bleach. Ten hours later, her metabolic acidosis, hypernatremia, hyperchloremia, and renal failure deteriorated gradually, despite aggressive medical treatment. Rapid, effective correction of the metabolic acidosis and electrolytes imbalance was needed and hemodialysis was performed immediately. After 3 days of dialysis, the laboratory imbalance was completely corrected.
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KEYWORD
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Sodium hypochlorite, Poisoning, Acidosis, Hypernatremia, Hemodialysis
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