Bismuth Toxicity Presenting as Declining Mobility and Falls

Authors

  • David B. Hogan University of Calgary
  • Cathy Harbidge Alberta Health Services
  • Amy Duncan Alberta Health Services

DOI:

https://doi.org/10.5770/cgj.21.323

Keywords:

bismuth toxicity, falls, cognitive impairment, delirium, collagenous colitis

Abstract

A 77-year old woman presented with a history of falls. Known health problems included biopsy-proven collagenous colitis treated with bismuth subsalicylate. On examination, in addition to impaired balance and gait, she was found to have tremors and cognitive deficits. Investigations revealed a markedly elevated urinary bismuth level. Withdrawal of bismuth subsalicylate led to marked cognitive and physical improvement.

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Published

2018-12-10

How to Cite

1.
Hogan DB, Harbidge C, Duncan A. Bismuth Toxicity Presenting as Declining Mobility and Falls. Can Geriatr J [Internet]. 2018 Dec. 10 [cited 2024 Apr. 18];21(4):307-9. Available from: https://cgjonline.ca/index.php/cgj/article/view/323

Issue

Vol. 21 No. 4 (2018)

Section

Original Research

License

Authors contributing to the Candian Geriatrics Journal retain copyright of their work, with exclusive publication rights granted to the Canadian Geriatrics Society upon article acceptance. Read the journal's full copyright and open access policy.