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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Diagnosing renal failure due to diethylene glycol in children in a resource-constrained setting
Pediatric Nephrology, Volume 27, No. 6, Year 2012
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Description
Background In 2008, several Nigerian children developed acute kidney injury (AKI) after ingesting teething syrup contaminated with diethylene glycol (DEG). Because there are limited diagnostic facilities in resourceconstrained countries, this study investigated whether AKI associated with DEG could be identified by other means. Methods This was a multicenter study. Information was obtained from hospital records. Clinicopathological features of all children withAKI over a 6-month period were reviewed. Results Sixty (50.4%) of 119 children ingested "My pikin" teething syrup. Compared to children who had not ingested it, they were significantly (p<0.05) younger (11.95 vs. 31 months), more were anuric (98.3 vs. 74.6%), hypertensive (84 vs. 52%), had severe metabolic acidosis (46.7 vs. 20.5%), and died (96.6 vs. 71.2%). They developed increasing metabolic acidosis and multiorgan dysfunction despite peritoneal dialysis. Late presentation, financial difficulties, inadequate facilities for toxicology, and hemodialysis complicated management. Conclusions Identifying AKI associated with DEG is difficult. Detailed drug history, increasing metabolic acidosis, and multiorgan deterioration despite peritoneal dialysis should arouse suspicion. Simple diagnostic tests need to be developed and facilities for hemodialysis of infants and financial support provided. Recurrences can be prevented by creating awareness, improving manufacturing practices, field-testing of drugs, and international monitoring of pharmaceuticals imported for manufacture. © IPNA 2012.
Authors & Co-Authors
Akuse, Rosamund Modupe
Nigeria, Zaria
Ahmadu Bello University
Eke, Felicia Uchezuba
Nigeria, Port Harcourt
University of Port Harcourt
Ademola, Adebowale Dele
Nigeria, Ibadan
University College Hospital, Ibadan
Fajolu, I. B.
Nigeria, Lagos
University of Lagos
Gbelee, Henry Olugbenga
Nigeria, Lagos
Lagos State University Teaching Hospital
Ihejiahi, Ugochi
Nigeria, Lagos
68 Nigerian Army Reference Hospital Myhoung Barracks Yaba
Bugaje, Mairo Adamu
Nigeria, Zaria
Ahmadu Bello University
Anochie, Ifeoma Comfort
Nigeria, Port Harcourt
University of Port Harcourt
Asinobi, Adanze Onyenonachi
Nigeria, Zaria
Ahmadu Bello University
Okafor, Henrietta Uche
Nigeria, Naukka
University of Nigeria
Adeleke, Solomon Ibiyemi
Nigeria, Kano
Aminu Kano University
Audu, Lamidi Isah
Nigeria, Abuja
National Hospital, Abuja
Otuneye, Adekunle Tolulope
Nigeria, Abuja
National Hospital, Abuja
Disu, Elizabeth Aruma
Nigeria, Lagos
Lagos State University Teaching Hospital
Idris, Hafsatu Wasagu
Nigeria, Zaria
Ahmadu Bello University
Aikhonbare, Henry A.
Nigeria, Zaria
Ahmadu Bello University
Yakubu, Alhassan Mela
Nigeria, Zaria
Ahmadu Bello University
Ogala, Williams Nuhu
Nigeria, Zaria
Ahmadu Bello University
Ogunrinde, Olufemi Gboye
Nigeria, Zaria
Ahmadu Bello University
Wammanda, Robinson Daniel
Nigeria, Zaria
Ahmadu Bello University
Orogade, Adeola A.
Nigeria, Zaria
Ahmadu Bello University
Anyiam, Jane Oowo
Nigeria, Zaria
Ahmadu Bello University
Eseigbe, Edwin Ehi
Nigeria, Zaria
Ahmadu Bello University
Umar, Lawal Waisu
Nigeria, Zaria
Ahmadu Bello University
Musa, Hayatu H.
Nigeria, Zaria
Ahmadu Bello University
Onalo, Richard
Nigeria, Zaria
Ahmadu Bello University
West, Boma
Nigeria, Port Harcourt
University of Port Harcourt
Paul, Nsirimobu I.
Nigeria, Port Harcourt
University of Port Harcourt
Lesi, Folusho Ebun Afolabi
Nigeria, Lagos
University of Lagos
Ladapo, Taiwo Augustina
Nigeria, Lagos
University of Lagos
Boyede, Ojombo
Nigeria, Lagos
University of Lagos
Okeowo, Rahmon
Nigeria, Lagos
University of Lagos
Mustapha, Akeem
Nigeria, Lagos
Lagos State University Teaching Hospital
Akinola, Ibironke Jadesola
Nigeria, Lagos
Lagos State University Teaching Hospital
Chima-Oduko, Oma
Nigeria, Lagos
Lagos State University Teaching Hospital
Awobusuyi, Olugbenga
Nigeria, Lagos
Lagos State University Teaching Hospital
Statistics
Citations: 36
Authors: 36
Affiliations: 9
Identifiers
Doi:
10.1007/s00467-011-2082-8
ISSN:
0931041X
e-ISSN:
1432198X
Research Areas
Health System And Policy
Maternal And Child Health
Noncommunicable Diseases
Violence And Injury