Pseudohyperchloremia in a patient taking bromine-containing drug: a clinical case

The development of pseudohyperchloremia in bromine poisoning has been described in several clinical cases, as well as in the veterinary literature. Among the side effects of bromides, the likelihood of developing such condition has not been described. We report a case of pseudohyperchloremia in patients taking a bromine-containing multicomponent drug. Severe hyperchloremia was detected – 209 mmol/l and 233 mmol/l – in the absence of metabolic acidosis and negative anion gap. This case is the first Russian-language description of the phenomenon.

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Journal
Messenger of Anesthesiology and Resuscitation
Published
2025-06-27
DOI
https://doi.org/10.24884/2078-5658-2025-22-3-97-99
Primary Topic
Renal function and acid-base balance
Type
article
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article

Pseudohyperchloremia in a patient taking bromine-containing drug: a clinical case

Ryta Rzheutskaya, V. S. Shabaev, В. А. Мазурок
Messenger of Anesthesiology and Resuscitation
Renal function and acid-base balance
article

Pseudohyperchloremia in a patient taking bromine-containing drug: a clinical case

Ryta Rzheutskaya, V. S. Shabaev, В. А. Мазурок
article en

Abstract

The development of pseudohyperchloremia in bromine poisoning has been described in several clinical cases, as well as in the veterinary literature. Among the side effects of bromides, the likelihood of developing such condition has not been described. We report a case of pseudohyperchloremia in patients taking a bromine-containing multicomponent drug. Severe hyperchloremia was detected – 209 mmol/l and 233 mmol/l – in the absence of metabolic acidosis and negative anion gap. This case is the first Russian-language description of the phenomenon.

Messenger of Anesthesiology and ResuscitationVol. 22(3)
Federal Almazov North-West Medical Research Centre (RU)
Openalex Percentile: Top 82%
Renal function and acid-base balance
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