Bath Salts: A Newly Recognized Cause of Acute Kidney Injury

Bath salts are substance of abuse that are becoming more common and are difficult to recognize due to negative toxicology screening. Acute kidney injury due to bath salt use has not previously been described. We present the case of a previously healthy male who developed acute kidney injury and dial...

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Main Authors: Jonathan McNeely, Samir Parikh, Christopher Valentine, Nabil Haddad, Ganesh Shidham, Brad Rovin, Lee Hebert, Anil Agarwal
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2012/560854
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author Jonathan McNeely
Samir Parikh
Christopher Valentine
Nabil Haddad
Ganesh Shidham
Brad Rovin
Lee Hebert
Anil Agarwal
author_facet Jonathan McNeely
Samir Parikh
Christopher Valentine
Nabil Haddad
Ganesh Shidham
Brad Rovin
Lee Hebert
Anil Agarwal
author_sort Jonathan McNeely
collection DOAJ
description Bath salts are substance of abuse that are becoming more common and are difficult to recognize due to negative toxicology screening. Acute kidney injury due to bath salt use has not previously been described. We present the case of a previously healthy male who developed acute kidney injury and dialysis dependence after bath salt ingestion and insufflation. This was self-reported with negative toxicology screening. Clinical course was marked by severe hyperthermia, hyperkalemia, rhabdomyolysis, disseminated intravascular coagulation, oliguria, and sepsis. We discuss signs and symptoms, differential diagnoses, potential mechanisms of injury, management, and review of the literature related to bath salt toxicity.
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series Case Reports in Nephrology
spelling doaj-art-b064e00f17384f3fa6d4c328a4b1ec792025-08-20T02:19:18ZengWileyCase Reports in Nephrology2090-66412090-665X2012-01-01201210.1155/2012/560854560854Bath Salts: A Newly Recognized Cause of Acute Kidney InjuryJonathan McNeely0Samir Parikh1Christopher Valentine2Nabil Haddad3Ganesh Shidham4Brad Rovin5Lee Hebert6Anil Agarwal7Division of Nephrology, Department of Internal Medicine, The Ohio State University Medical Center, Columbus, OH 43210, USADivision of Nephrology, Department of Internal Medicine, The Ohio State University Medical Center, Columbus, OH 43210, USADivision of Nephrology, Department of Internal Medicine, The Ohio State University Medical Center, Columbus, OH 43210, USADivision of Nephrology, Department of Internal Medicine, The Ohio State University Medical Center, Columbus, OH 43210, USADivision of Nephrology, Department of Internal Medicine, The Ohio State University Medical Center, Columbus, OH 43210, USADivision of Nephrology, Department of Internal Medicine, The Ohio State University Medical Center, Columbus, OH 43210, USADivision of Nephrology, Department of Internal Medicine, The Ohio State University Medical Center, Columbus, OH 43210, USADivision of Nephrology, Department of Internal Medicine, The Ohio State University Medical Center, Columbus, OH 43210, USABath salts are substance of abuse that are becoming more common and are difficult to recognize due to negative toxicology screening. Acute kidney injury due to bath salt use has not previously been described. We present the case of a previously healthy male who developed acute kidney injury and dialysis dependence after bath salt ingestion and insufflation. This was self-reported with negative toxicology screening. Clinical course was marked by severe hyperthermia, hyperkalemia, rhabdomyolysis, disseminated intravascular coagulation, oliguria, and sepsis. We discuss signs and symptoms, differential diagnoses, potential mechanisms of injury, management, and review of the literature related to bath salt toxicity.http://dx.doi.org/10.1155/2012/560854
spellingShingle Jonathan McNeely
Samir Parikh
Christopher Valentine
Nabil Haddad
Ganesh Shidham
Brad Rovin
Lee Hebert
Anil Agarwal
Bath Salts: A Newly Recognized Cause of Acute Kidney Injury
Case Reports in Nephrology
title Bath Salts: A Newly Recognized Cause of Acute Kidney Injury
title_full Bath Salts: A Newly Recognized Cause of Acute Kidney Injury
title_fullStr Bath Salts: A Newly Recognized Cause of Acute Kidney Injury
title_full_unstemmed Bath Salts: A Newly Recognized Cause of Acute Kidney Injury
title_short Bath Salts: A Newly Recognized Cause of Acute Kidney Injury
title_sort bath salts a newly recognized cause of acute kidney injury
url http://dx.doi.org/10.1155/2012/560854
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AT samirparikh bathsaltsanewlyrecognizedcauseofacutekidneyinjury
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AT nabilhaddad bathsaltsanewlyrecognizedcauseofacutekidneyinjury
AT ganeshshidham bathsaltsanewlyrecognizedcauseofacutekidneyinjury
AT bradrovin bathsaltsanewlyrecognizedcauseofacutekidneyinjury
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