Gerontology & Geriatric Research

Giovanni Ruotolo

Publications

• Case Report
  A Fatal Case of Triple Whammy in an Elderly Patient
  Author(s): Pietro Gareri, Giovanni Ruotolo, Alberto Castagna, Valeria Graziella Laura Manfredi, Alfonso Merante, Norma Maria Marigliano, Andrea Corsonello, Luca Gallelli, Amalia Cecilia Bruni, Santo Gratteri and Giovambattista De SarroPietro Gareri, Giovanni Ruotolo, Alberto Castagna, Valeria Graziella Laura Manfredi, Alfonso Merante, Norma Maria Marigliano, Andrea Corsonello, Luca Gallelli, Amalia Cecilia Bruni, Santo Gratteri and Giovambattista De Sarro
  
  Triple whammy is a drug-induced renal failure which in patients treated with ACE-inhibitors or angiotensin II receptor blockers, diuretics and non-steroidal anti-inflammatory drugs. We report a case of a 79-year-old woman affected with hypertension, depression and arthritis that was hospitalized for abdominal pain and discharged with normal renal function and with poly-treatment: furosemide, aspirin, carvedilol, omeprazole and ramipril. Few days later she was visited for depressive symptoms, pain in the right shoulder and cystitis and treatment with oral ketoprofen and ciprofloxacin was prescribed. One week later she experienced loss of appetite, asthenia and swelling of the face. Blood analyses showed acute renal failure, whereas clinical examination showed heart failure and pleural effusion. She was again hospitalized in a geri.. View More»
  DOI: 10.4172/2167-7182.1000204

  Abstract PDF