About: Severe cobalt intoxication following hip replacement revision: Clinical features and outcome     Goto   Sponge   NotDistinct   Permalink

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Description
  • Context. Cobalt intoxication has become more frequent due to the wide use of metal hip implants. Case details. A 56-year-old male patient underwent total hip prosthesis, with a ceramics-on-ceramics implant. Almost 3 years later, it was replaced by metal implant containing cobalt, chromium, and titanium. He developed weight loss, heart, thyroid, and neurological toxicity, with severe hearing loss. He was treated with 2,3-dimercaptopropane-1-sulfonate (DMPS), and cobalt excretion increased. Clinical symptoms apart from deafness gradually resolved. Conclusion. We report significant cobalt poisoning from a damaged hip replacement with cobalt containing implant and a slow abrasion of the metal by residual ceramic particles. Chelation therapy resulted in apparent benefit.
  • Context. Cobalt intoxication has become more frequent due to the wide use of metal hip implants. Case details. A 56-year-old male patient underwent total hip prosthesis, with a ceramics-on-ceramics implant. Almost 3 years later, it was replaced by metal implant containing cobalt, chromium, and titanium. He developed weight loss, heart, thyroid, and neurological toxicity, with severe hearing loss. He was treated with 2,3-dimercaptopropane-1-sulfonate (DMPS), and cobalt excretion increased. Clinical symptoms apart from deafness gradually resolved. Conclusion. We report significant cobalt poisoning from a damaged hip replacement with cobalt containing implant and a slow abrasion of the metal by residual ceramic particles. Chelation therapy resulted in apparent benefit. (en)
Title
  • Severe cobalt intoxication following hip replacement revision: Clinical features and outcome
  • Severe cobalt intoxication following hip replacement revision: Clinical features and outcome (en)
skos:prefLabel
  • Severe cobalt intoxication following hip replacement revision: Clinical features and outcome
  • Severe cobalt intoxication following hip replacement revision: Clinical features and outcome (en)
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  • RIV/00064165:_____/12:11946!RIV13-MZ0-00064165
http://linked.open...avai/predkladatel
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  • I
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  • 4
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  • 167627
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  • RIV/00064165:_____/12:11946
http://linked.open...riv/jazykVysledku
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  • Cobalt; Hip prosthesis; Cardiomyopathy; Hypothyreosis; Hearing loss; DMPS; Chromium (en)
http://linked.open.../riv/klicoveSlovo
http://linked.open...odStatuVydavatele
  • US - Spojené státy americké
http://linked.open...ontrolniKodProRIV
  • [BBDB8442326A]
http://linked.open...i/riv/nazevZdroje
  • Clinical Toxicology
http://linked.open...in/vavai/riv/obor
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http://linked.open...UplatneniVysledku
http://linked.open...v/svazekPeriodika
  • 50
http://linked.open...iv/tvurceVysledku
  • Pelclová, Daniela
  • Lach, Karel
  • Janiček, Pavel
  • Sklenský, Martin
http://linked.open...ain/vavai/riv/wos
  • 000302024600006
issn
  • 1556-3650
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