Acute kidney injury due to intravenous detergent poisoning: A case report

Table 1 Detergent composition and molecular weight

Ingredients	Molecular weight (g/moL)
Dodecyldimethylamine oxide	229.40
Sodium alkylbenzene sulfonate	334.45
Water	18.02
Ethanol	46.07
Octane-1,2-diol	146.23
Sodium sulfate	142.04
Silicon dioxide	60.08
Sodium hydrogen carbonate	84.01
Dimethylsiloxane	92.17
Calcium carbonate	100.09
2,6-dimethyl-7-octen-2-ol	156.27
Linalool	154.25
(E)-dodec-2-en-1-al	182.30
(R)-p-mentha-1,8-dien	136.23

Table 2 Complete blood cell count and serum chemistry findings until 3^rd day of hospitalization

Parameters	1st day of hospitalization	2nd day of hospitalization	3rd day of hospitalization
WBC (× 103/μL)	14.8	9.9	6.5
Hb (g/dL)	12.6	10.1	10.7
PLT (× 103/μL)	149	109	110
BUN (mg/dL)	23.7	44.0	55.7
Cr (mg/dL)	0.99	3.59	5.42
AST (IU/L)	111	51	31
ALT (IU/L)	22	8	4
Total bilirubin (mg/dL)	3.48	0.84	0.57
Direct bilirubin (mg/dL)	1.02	-	-
LDH (IU/L)	1726	833	731
CPK (IU/L)	56	-	36
Ca (mg/dL)	9.61	9.06	9.10
Inorganic P (mg/dL)	3.77	5.16	4.59
Na (mEq/L)	139	136	137
K (mEq/L)	3.76	3.82	4.02
CI (mEq/L)	104.2	103.1	103.7
Total CO2 (mmol/L)	25.1	22.9	22.5

ALT: Alanine transaminase; AST: Aspartate transaminase; BUN: Blood urea nitrogen; Ca: Calcium; CI: Chloride; CO₂: Carbon dioxide; CPK: Creatine phosphokinase; Cr: Creatinine; Hb: Hemoglobin; K, potassium; LDH: Lactate dehydrogenase; Na: Sodium; P: Phosphorus; PLT: Platelet; WBC: White blood cell.

Table 3 Urine dipstick test results and urine microscopic findings at the emergency department

The dipstick urinalysis findings
Color	Orange
Turbidity	Cloudy
Specific gravity	1.044
pH	6.5
Protein	3+
Glucose	-
Ketone	-
Blood	3+
Urobilinogen	-
Bilirubin	-
Nitrite	-
WBC	-
Urine microscopy findings
Micro RBC (/HPF)	Many (> 20)
Micro WBC (/HPF)	0-2
Micro sediment	No cast and crystal

HPF: High power field; RBC: Red blood cell; WBC: White blood cell.

Table 4 Laboratory tests for hemolysis on the 2^nd day of hospitalization

Tests		2nd day of hospitalization
Peripheral blood smear	RBC	Normocytic and normochromic RBCs with mild anisopoikilocytosis
	WBC	Normal WBC counts with no toxic granulation and vacuolations
	PLT	Decreased PLT counts
Reticulocyte count (%)		1.6
Hemosiderin stain		Negative
Haptoglobin (mg/dL)		45
Homocysteine (μmol/L)		8.66

RBC: Red blood cell; WBC: White blood cell; PLT: Platelet.