Inappropriate Acetazolamide Use for a Hiker Who Developed Acute Kidney Injury.
Wilderness Environ Med
; 35(3): 328-331, 2024 Sep.
Article
em En
| MEDLINE
| ID: mdl-38725416
ABSTRACT
Prophylactic use of acetazolamide (ACZ) to prevent acute mountain sickness (AMS) is a common practice among high altitude travelers and mountaineers. With its use comes a possible risk of acute kidney injury (AKI). We present a case in which a 56-year-old male hiker in Grand Canyon National Park developed acute exertional rhabdomyolysis and subsequent AKI while taking prophylactic ACZ to prevent AMS. This medication was prescribed despite the hiker encountering only moderate altitude at Grand Canyon with a planned descent within <24â
h. The resulting AKI was determined to be the combined result of acute exertional rhabdomyolysis and dehydration/hypovolemia, with the ACZ, a diuretic, as a contributing factor. Medical providers need to recognize the risks/benefits with ACZ use for AMS prophylaxis and avoid prescribing it to individuals whose altitude exposure and activity fall outside the clinical practice guidelines recommended for use.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Doença da Altitude
/
Injúria Renal Aguda
/
Acetazolamida
/
Montanhismo
Limite:
Humans
/
Male
/
Middle aged
Idioma:
En
Revista:
Wilderness Environ Med
Assunto da revista:
SAUDE AMBIENTAL
Ano de publicação:
2024
Tipo de documento:
Article
País de afiliação:
Azerbaidjão