Copper-induced Haemolytic Anaemia

  • Joana Azevedo Carvalho Hospital Prof. Dr. Fernando Fonseca – Medicina IV, Amadora, Portugal https://orcid.org/0000-0002-4405-3302
  • Leonor Boavida Hospital Prof. Dr. Fernando Fonseca – Medicina IV, Amadora, Portugal
  • Ricardo Ferreira Hospital Prof. Dr. Fernando Fonseca – Oncologia, Amadora, Portugal
  • Catarina Favas Hospital Prof. Dr. Fernando Fonseca – Medicina IV, Amadora, Portugal
  • José Delgado Alves Hospital Prof. Dr. Fernando Fonseca – Medicina IV, Amadora, Portugal

Keywords

Copper poisoning, non-immune haemolytic anaemia, toxicology

Abstract

Acute copper toxicity is uncommon in Western countries and is often the result of accidental consumption or a suicide attempt. We report the case of a 65-year-old man presenting to the accident and emergency department after a suicide attempt with ingestion of Bordeaux mixture, ibuprofen, acetaminophen and bleach. Primary evaluation showed caustic oesophagitis, toxic hepatitis and acute renal injury, which were treated with supportive care. During admission, he developed a non-immune haemolytic anaemia associated with high levels of copper in urine and blood. Chelation treatment with penicillamine was started and evolution was favourable after 1 month of treatment. Copper poisoning can be lethal. Prompt diagnosis and treatment are key for a favourable prognosis.

VIEW THE ENTIRE ARTICLE

References

  • Agrios GN. Control of plant diseases. In: Plant pathology. 5th ed. Amsterdam: Elsevier; 2005, chapter 9.
  • Sonal Sekhar M, Rao M. Clinical toxicology of copper: source, toxidrome, mechanism of toxicity, and management. In: Bagchi D, Bagchi M, editors. Metal toxicology handbook. Boca Raton: CRC Press; 2020, pp. 199–217.
  • Moussiegt A, Ferreira L, Aboab J, Silva D. She has the blues: an unusual case of copper sulphate intoxication. EJCRIM 2020;7(2):001394.
  • Higny J, Vanpee D, Boulouffe C. Bluish vomiting: a rare clinical presentation of poisoning. Acta Clin Belg 2014;69(4):299–301.
  • Royer A, Sharman T. Copper toxicity. [Updated 2021 Apr 3]. In: StatPearls [Internet]. Treasure Island, FL: StatPearls Publishing. Available from: https://www.ncbi.nlm.nih.gov/books/NBK557456/
  • Saravu K, Jose J, Bhat M, Jimmy B, Shastry B. Acute ingestion of copper sulphate: a review on its clinical manifestations and management. Indian J Crit Care Med 2007;11:74–80.
  • World Health Organization. Suicide. Available from: https://www.euro.who.int/en/health-topics/noncommunicable-diseases/mental-health/areas-of-work/suicide (accessed 14 July 2021).
  • Published: 2021-10-08

    Issue: 2021: Vol 8 No 9 (view)

    Section: Articles

    How to cite:
    1.
    Azevedo Carvalho J, Boavida L, Ferreira R, Favas C, Delgado Alves J. Copper-induced Haemolytic Anaemia. EJCRIM 2021;8 doi:10.12890/2021_002785.

    Most read articles by the same author(s)