| Theme |
Intoxication of Drugs and Poisons and Blood Purification Therapy (Case Report) |
| Title |
Digitalis intoxication |
| Author |
Atsuo Tanaka |
Department of Nephrology, Osaka Saiseikai Nakatsu Hospital |
| Author |
Takashi Kuwahara |
Department of Nephrology, Osaka Saiseikai Nakatsu Hospital |
| [ Summary ] |
A 77-year-old male who complained of appetite loss was admitted. Digoxin 0.25mg/day had been administered for chronic heart failure. He was suspected to have digitalis intoxication since he complained of visual disturbances and an electrocardiogram showed abnormal ST depression. Laboratory data demonstrated serum digoxin concentrations of 13.80ng/ml (normal range 0.8 to 2.0ng/ml). Taking these data into consideration, we diagnosed him as having digitalis intoxication. Direct hemoperfusion (DHP) was initiated. It was performed three times. His general condition gradually improved after treatment. He was discharged after his sixtyth day in the hospital. From the viewpoint of safety and effectiveness, DHP is a good therapy for digitalis intoxication. |