A `glue sniffer` teenager with anuric renal failure and hepatitis

`Inhalant abuse` is a common form of volatile drug abuse throughout the world especially in developing countries. This substance mainly contains toluene. Acute toluene inhalation produces a biphasic response with an initial central nervous system (CNS) excitation followed by CNS depression as well...

Full description

Saved in:
Bibliographic Details
Main Authors: Ali Yurtseven, Mümine Türksoylu, Pınar Yazıcı, Bülent Karapınar, Eylem Ulaş Saz
Format: Article
Language:English
Published: Hacettepe University Institute of Child Health 2018-04-01
Series:The Turkish Journal of Pediatrics
Subjects:
Online Access:https://turkjpediatr.org/article/view/842
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850042078173593600
author Ali Yurtseven
Mümine Türksoylu
Pınar Yazıcı
Bülent Karapınar
Eylem Ulaş Saz
author_facet Ali Yurtseven
Mümine Türksoylu
Pınar Yazıcı
Bülent Karapınar
Eylem Ulaş Saz
author_sort Ali Yurtseven
collection DOAJ
description `Inhalant abuse` is a common form of volatile drug abuse throughout the world especially in developing countries. This substance mainly contains toluene. Acute toluene inhalation produces a biphasic response with an initial central nervous system (CNS) excitation followed by CNS depression as well as various metabolic alterations. Chronic inhalational abuse is associated with muscular weakness, gastrointestinal symptoms, renal and hepatic injury. In this report, a 16-year-old boy presented with jaundice, nausea, vomiting and reduced urine output. He developed severe acute renal/hepatic damage due to abuse of gas products. Since toluene is the main toxic agent involved in glue sniffing which is metabolized to hippuric acid, the present case was treated with continuous hemodiafiltration, plasma exchange and conservative therapy to eliminate hippuric acid. The jaundice gradually disappeared, he had complete recovery of renal/hepatic functions in ten days. We aimed to increase the awareness among emergency physicians that ``glue sniffing` should be considered in the differential diagnosis of unexplained reversible acute renal/hepatic damage.
format Article
id doaj-art-dd12057ca7fe4149b2f91565f0d8ac44
institution DOAJ
issn 0041-4301
2791-6421
language English
publishDate 2018-04-01
publisher Hacettepe University Institute of Child Health
record_format Article
series The Turkish Journal of Pediatrics
spelling doaj-art-dd12057ca7fe4149b2f91565f0d8ac442025-08-20T02:55:38ZengHacettepe University Institute of Child HealthThe Turkish Journal of Pediatrics0041-43012791-64212018-04-0160210.24953/turkjped.2018.02.016A `glue sniffer` teenager with anuric renal failure and hepatitisAli YurtsevenMümine Türksoylu0Pınar Yazıcı1Bülent Karapınar2Eylem Ulaş SazDivision of Emergency Medicine, Ege University School of Medicine, İzmir, Turkey.Department of Pediatrics, Ege University School of Medicine, İzmir, Turkey.Department of Pediatrics, Ege University School of Medicine, İzmir, Turkey. `Inhalant abuse` is a common form of volatile drug abuse throughout the world especially in developing countries. This substance mainly contains toluene. Acute toluene inhalation produces a biphasic response with an initial central nervous system (CNS) excitation followed by CNS depression as well as various metabolic alterations. Chronic inhalational abuse is associated with muscular weakness, gastrointestinal symptoms, renal and hepatic injury. In this report, a 16-year-old boy presented with jaundice, nausea, vomiting and reduced urine output. He developed severe acute renal/hepatic damage due to abuse of gas products. Since toluene is the main toxic agent involved in glue sniffing which is metabolized to hippuric acid, the present case was treated with continuous hemodiafiltration, plasma exchange and conservative therapy to eliminate hippuric acid. The jaundice gradually disappeared, he had complete recovery of renal/hepatic functions in ten days. We aimed to increase the awareness among emergency physicians that ``glue sniffing` should be considered in the differential diagnosis of unexplained reversible acute renal/hepatic damage. https://turkjpediatr.org/article/view/842acute kidney injuryglue sniffinghepatitisjaundice
spellingShingle Ali Yurtseven
Mümine Türksoylu
Pınar Yazıcı
Bülent Karapınar
Eylem Ulaş Saz
A `glue sniffer` teenager with anuric renal failure and hepatitis
The Turkish Journal of Pediatrics
acute kidney injury
glue sniffing
hepatitis
jaundice
title A `glue sniffer` teenager with anuric renal failure and hepatitis
title_full A `glue sniffer` teenager with anuric renal failure and hepatitis
title_fullStr A `glue sniffer` teenager with anuric renal failure and hepatitis
title_full_unstemmed A `glue sniffer` teenager with anuric renal failure and hepatitis
title_short A `glue sniffer` teenager with anuric renal failure and hepatitis
title_sort glue sniffer teenager with anuric renal failure and hepatitis
topic acute kidney injury
glue sniffing
hepatitis
jaundice
url https://turkjpediatr.org/article/view/842
work_keys_str_mv AT aliyurtseven agluesnifferteenagerwithanuricrenalfailureandhepatitis
AT mumineturksoylu agluesnifferteenagerwithanuricrenalfailureandhepatitis
AT pınaryazıcı agluesnifferteenagerwithanuricrenalfailureandhepatitis
AT bulentkarapınar agluesnifferteenagerwithanuricrenalfailureandhepatitis
AT eylemulassaz agluesnifferteenagerwithanuricrenalfailureandhepatitis
AT aliyurtseven gluesnifferteenagerwithanuricrenalfailureandhepatitis
AT mumineturksoylu gluesnifferteenagerwithanuricrenalfailureandhepatitis
AT pınaryazıcı gluesnifferteenagerwithanuricrenalfailureandhepatitis
AT bulentkarapınar gluesnifferteenagerwithanuricrenalfailureandhepatitis
AT eylemulassaz gluesnifferteenagerwithanuricrenalfailureandhepatitis