Case Report: Acute kidney injury from chromium exposure-clinical insights.

This article reports a case of a patient who developed nausea, vomiting, and diarrhea, succeeded by oliguria and acute kidney injury, after exposure to a chromium-containing additive pool water while working. The patient was diagnosed with acute kidney injury, third-degree skin burns, and gastroenteritis. Subsequently, the patient was treated with antioxidant stress management, hemodialysis, and surgical debridement with skin grafting. After 1 year, the patient's condition gradually improved. In addition, renal biopsy pathology suggested acute interstitial nephritis. In combination, with the medical history and blood chromium monitoring, its kidney pathology was confirmed to be caused by heavy metal chromium poisoning. This case highlights the importance of obtaining a clear history of high exposure to heavy metals for the diagnosis of acute kidney injury, and early active treatment can improve the success rate of rescue.