Henry JS, Buoncompagni S, Ross S, Istvan SA, Rizzo K, Cowgill LD, Press SA. Successful treatment of 5-fluorouracil toxicosis with hemodialysis.
J Vet Emerg Crit Care (San Antonio) 2023;
33:388-392. [PMID:
36883466 DOI:
10.1111/vec.13289]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2021] [Revised: 04/04/2022] [Accepted: 04/14/2022] [Indexed: 03/09/2023]
Abstract
OBJECTIVE
To describe the successful treatment of lethal dose 5-fluorouracil (5-FU) toxicosis using hemodialysis.
CASE SUMMARY
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.
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