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Bismuth Toxicity Presenting as Declining Mobility and Falls
David B Hogan1,2, Cathy Harbidge2, Amy Duncan2
1Division of Geriatric Medicine, Cumming School of Medicine, University of Calgary, Calgary, AB, Canada.
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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