Citation

Hogan DB, Harbidge C, Duncan A. Can. Geriatr. J. 2018; 21(4): 307-309.

Affiliation

Calgary Fall Prevention Clinic, Specialized Geriatric Services, Alberta Health Services, Edmonton, AB, Canada.

Copyright

(Copyright © 2018, Canadian Geriatrics Society)

DOI

10.5770/cgj.21.323

PMID

30595782

PMCID

PMC6281375

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.

Language: en

Keywords

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