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Harmful effect of saline infusion in a patient with glycyrrhizic acid poisoning

Published online by Cambridge University Press:  21 May 2015

Natacha Caubet-Kamar ,
Marie Tubery ,
Cyril Garrouste ,
Dominique Lauque  and
Nassim Kamar
Natacha Caubet-Kamar
Affiliation:
Department of Emergency, CHU Purpan, Toulouse
Marie Tubery
Affiliation:
Department of Emergency, CHU Purpan, Toulouse
Cyril Garrouste
Affiliation:
Department of Nephrology, Dialysis, and Multi-Organ Transplantation, CHU Rangueil, Toulouse
Dominique Lauque
Affiliation:
Department of Emergency, CHU Purpan, Toulouse
Nassim Kamar*
Affiliation:
Department of Nephrology, Dialysis, and Multi-Organ Transplantation, CHU Rangueil, Toulouse INSERM U858, IFR 31, CHU Rangueil, Toulouse, France
*
Department of Nephrology, Dialysis and Multi-Organ Transplantation, CHU Rangueil, TSA 50032, 31059 Toulouse Cedex 9 France; fax +33 5 61 32 28 64; kamar.n@chu-toulouse.fr

Abstract

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Alcohol-free licorice beverages contain glycyrrhizic acid. Excess glycyrrhizic acid is a well-known cause of excess mineralocorticoid syndrome. We report a case of glycyrrhizic acid poisoning in an abstinent alcoholic complicated by severe pulmonary edema following excessive hydration with intravenous normal saline.

Keywords

alcohol-free drinkhypokalemiaglycyrrhizic acidlicorice, potassiumsaline infusionpulmonary edema
Type
Case Report • Rapport de cas
Information
Canadian Journal of Emergency Medicine , Volume 12 , Issue 3 , May 2010 , pp. 224 - 225
Copyright
Copyright © Canadian Association of Emergency Physicians 2010

References

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