Successful treatment of 5-fluorouracil toxicosis with hemodialysis.
J Vet Emerg Crit Care (San Antonio)
; 33(3): 388-392, 2023.
Article
in En
| MEDLINE
| ID: mdl-36883466
ABSTRACT
OBJECTIVE:
To describe the successful treatment of lethal dose 5-fluorouracil (5-FU) toxicosis using hemodialysis. CASESUMMARY:
A 4-month-old intact female Golden Retriever was presented to the emergency department after ingesting 20 g of 5% 5-FU cream. The puppy developed refractory seizures and became comatose with uncontrolled tonic-clonic convulsions. Because of the low molecular weight and minimal protein binding of 5-FU, a single hemodialysis treatment was employed for detoxification. The puppy improved clinically posttreatment and was successfully discharged 3 days after admission. Postingestion leukopenia and neutropenia occurred but were responsive to treatment with filgrastim. The puppy is neurologically normal and has no lasting effects 1 year postingestion. NEW OR UNIQUE INFORMATION PROVIDED To the authors' knowledge, this is the first reported case in veterinary medicine of a potentially fatal 5-FU ingestion that has been treated with intermittent hemodialysis.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Thrombocytopenia
/
Dog Diseases
Limits:
Animals
Language:
En
Journal:
J Vet Emerg Crit Care (San Antonio)
Journal subject:
MEDICINA DE EMERGENCIA
/
MEDICINA VETERINARIA
/
TERAPIA INTENSIVA
Year:
2023
Document type:
Article
Affiliation country: