Successful management of a colchicine overdose with plasmapheresis: a case report


Toksul İ. H., Altundağ İ., Çete R., Kazzi Z., KORKUT S., ŞAHİN A.

Toxicology Communications, cilt.7, sa.1, 2023 (Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 7 Sayı: 1
  • Basım Tarihi: 2023
  • Doi Numarası: 10.1080/24734306.2023.2286391
  • Dergi Adı: Toxicology Communications
  • Derginin Tarandığı İndeksler: Scopus
  • Anahtar Kelimeler: Colchicine overdose, deliberate self-harm, plasmapheresis, lymphopenia, case report
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

An overdose of colchicine can be lethal due to its narrow therapeutic index. We aimed to describe the successful management of a large intentional overdose with plasmapheresis therapy. A 32-year-old female presented to the Emergency Department with nausea, vomiting, and dizziness eight hours after intentionally ingesting 0.9 mg/kg colchicine in tablet form. She was treated with plasmapheresis and supportive therapy. The only abnormality in four days of observation was one-day transient lymphopenia (0.82 x 109/L).