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Nephrol Dial Transplant (2001) 16: 1700-1701
© 2001 European Renal Association-European Dialysis and Transplant Association

Case Report

Myoglobinuric acute renal failure following cardioversion in a boxfish poisoning patient

Jin-Bor Chen, Hsien-Heng Pan and Deng-Fwu Hwang1

Department of Internal Medicine, Division of Nephrology, Chang Gung Memorial Hospital, Kaohsiung and 1 Department of Marine Food Science, National Taiwan Ocean University, Keelung, Taiwan

Keywords: myoglobinuric acute renal failure; countershock



   Introduction
 
Trunkfish are unique in that their bodies are enclosed in a hard box-like shell, and include boxfish, cowfish and turretfish. Members of the family Ostraciidae secrete an ichthyotoxic mucus from their skin when stressed or disturbed [1]. Fish exposed to this secretion develop irritability, gasping, quiescence, decreased rate of opercular movement, loss of equilibrium and locomotion, sporadic convulsions and death [2]. Rhabdomyolysis, a destructive skeletal muscle disease, can be caused by crush injury and other non-traumatic circumstances, e.g. alcoholism, viral infection, metabolic disorders, myopathies, drugs, etc. [3,4. . . [Full Text of this Article]



   Case
 


   Discussion
 


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