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Download ebook Subacute Aluminum Intoxication in Hemodialysis Patients
Download ebook Subacute Aluminum Intoxication in Hemodialysis Patients

Subacute Aluminum Intoxication in Hemodialysis Patients.cKenrick Berend
Subacute Aluminum Intoxication in Hemodialysis Patients
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Author: Kenrick Berend
Page Count: 232 pages
Published Date: 01 Jul 2009
Publisher: VDM Verlag
Publication Country: Germany
Language: English
ISBN: 9783639093087
File size: 13 Mb
File Name: Subacute.Aluminum.Intoxication.in.Hemodialysis.Patients.pdf
Download Link: Subacute Aluminum Intoxication in Hemodialysis Patients
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In 1996, in Curacao, a small island in the Netherlands Antilles, ten patients of a hemodialysis center died because of an outbreak of subacute aluminum intoxication. Two aspects were responsible for this intoxication. First, no water purification system was used in the dialysis center. In hemodialysis treatment many liters water are used. The water has to be pure because substances dissolved in the water can enter the blood compartiment of the patients. Because very pure distilled seawater was used for the distribution of drinking water in those island it was common practice not to use extended water purification systems. Second, a new drinking water pipe with an inner cement coating was installed. Cement contains aluminum. Due to the purity of the drinking water, aluminum leached from this cement layer into the water used for hemodialysis treatment. This book discusses aspects of drinking water production and distribution, the symptoms of subacute aluminum intoxication, the post-mortem toxicological findings, the treatment of aluminum intoxication and the judicial implications of the tragic incident.

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