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Bismuth Toxicity Presenting as Declining Mobility and Falls.

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.
AuthorsDavid B Hogan, Cathy Harbidge, Amy Duncan
JournalCanadian geriatrics journal : CGJ (Can Geriatr J) Vol. 21 Issue 4 Pg. 307-309 (Dec 2018) ISSN: 1925-8348 [Print] Canada
PMID30595782 (Publication Type: Journal Article)

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