Saudi Journal of Kidney Diseases and Transplantation

CASE REPORT
Year
: 2020  |  Volume : 31  |  Issue : 5  |  Page : 1125--1128

Acute Kidney Injury due to Povidone-Iodine


Dorsaf Zellama, Sinda Ayed, Awatef Azzabi, Sanda Mrabet, Wissal Sahtout, Asma Fradi, Narjes Ben Aicha, Yosra Guedri, Abdellatif Achour 
 Department of Nephrology, Dialysis, and Renal Transplantation, Sahloul University Hospital, Sousse, Tunisia

Correspondence Address:
Dorsaf Zellama
Department of Nephrology, Dialysis, and Transplantation, Sahloul University Hospital, Sousse
Tunisia

Povidone-iodine is a broad-spectrum antiseptic applied topically to treat wounds and prevent their infection. Despite the apparent innocuousness of this agent, several cases of acute kidney injury (AKI) due to iodine toxicity have been reported. We report a case of severe AKI that occurred in a 32-year-old female three days after a hysteroscopy for the diagnosis of primary sterility using povidone-iodine as the local antiseptic agent. We made a clinical diagnosis of tubular necrosis related to iodine toxicity in view of the clinical presentation and high blood iodine concentration. The patient was treated with hemodialysis until urine output and renal function improved. Physicians must be aware of the possible nephrotoxicity secondary to povidone-iodine use. Patients receiving povidone-iodine, especially those who already suffer from kidney failure, should be closely monitored. The discontinuation of this agent, with the use of hemodialysis, is usually effective.


How to cite this article:
Zellama D, Ayed S, Azzabi A, Mrabet S, Sahtout W, Fradi A, Aicha NB, Guedri Y, Achour A. Acute Kidney Injury due to Povidone-Iodine.Saudi J Kidney Dis Transpl 2020;31:1125-1128


How to cite this URL:
Zellama D, Ayed S, Azzabi A, Mrabet S, Sahtout W, Fradi A, Aicha NB, Guedri Y, Achour A. Acute Kidney Injury due to Povidone-Iodine. Saudi J Kidney Dis Transpl [serial online] 2020 [cited 2021 Sep 17 ];31:1125-1128
Available from: https://www.sjkdt.org/article.asp?issn=1319-2442;year=2020;volume=31;issue=5;spage=1125;epage=1128;aulast=Zellama;type=0