Schwere Koffeinintoxikation mit Rhabdomyolyse

Abstract

We report the case of a young man who took a large amount of caffeine powder dissolved in water in a suicide attempt. He was found comatose. The initial diagnosis was difficult. In hospital he suffered from rhabdomyolysis with renal failure and sepsis rapidly developed. After renal replacement treatment with hemodialysis, long-term artificial ventilation with tracheotomy and a 3‑week stay in the intensive care unit, the patient could be discharged to a rehabilitation center.

Treatment of Lethal Caffeine Overdose with Haemodialysis: A Case Report and Review

“…The first case of caffeine toxicity we found in our review of the literature treated with hemoperfusion was by Zimmerman et al, in the 1980s [25]. Since then, many others have described the use of several dialysis techniques in the management of acute caffeine intoxication [26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44][45]. In the reported cases the most common acid base disorder was metabolic acidosis with elevated lactic acid.…”