SP223CIPROFLOXACIN INDUCED ACUTE KIDNEY INJURY-AN UNUSUAL CASE PRESENTATION

Acute kidney injury (AKI) is under-recognised in children and neonates. It is associated with increased mortality and morbidity along with an increased incidence of chronic kidney disease in adulthood. It is important that paediatricians are able to recognise AKI quickly, enabling prompt treatment of reversible causes. In this article, we demonstrate an approach to recognising paediatric AKI, cessation of nephrotoxic medication, appropriate investigations and the importance of accurately assessing fluid status. The mainstay of treatment is attempting to mimic the kidneys ability to provide electrolyte and fluid homeostasis; this requires close observation and careful fluid management. We discuss referral to paediatric nephrology and the importance of long-term follow-up. We present an approach to AKI through case-presentation.

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Over-diuresis or cardiac tamponade? An unusual case of acute kidney injury and early closure

Journal of Community Hospital Internal Medicine Perspectives ◽

10.3402/jchimp.v6.31357 ◽

2016 ◽

Vol 6 (2) ◽

pp. 31357

Author(s):

Gurkeerat Singh ◽

Bruce Sabath

Keyword(s):

Acute Kidney Injury ◽

Cardiac Tamponade ◽

Unusual Case ◽

Kidney Injury ◽

Early Closure

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Unusual Case of Localized Upper Limbs and Truncal Edema Associated with Fever, Anemia, and Acute Kidney Injury

Case Reports in Medicine ◽

10.1155/2019/6251426 ◽

2019 ◽

Vol 2019 ◽

pp. 1-3

Author(s):

Mohammad Tinawi

Keyword(s):

Acute Kidney Injury ◽

Creatine Kinase ◽

Muscle Biopsy ◽

Unusual Case ◽

Kidney Injury ◽

The Other ◽

Upper Limbs ◽

Inflammatory Myositis ◽

Arm Pain ◽

Extensive Evaluation

The patient is a 75-year-old man who presented with right arm pain, edema, and erythema. The same manifestations appeared in the other arm 3 weeks later. He also developed fever, acute kidney injury, anemia, and truncal edema. Initial extensive evaluation was unrevealing. He was noted to have elevated creatine kinase, and a diagnostic muscle biopsy lead to diagnosis of inflammatory myositis. He improved with corticosteroids.

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Clinical features of acute kidney injury in Coronavirus disease 2019—A case report with review of literature

10.21203/rs.3.rs-18031/v1 ◽

2020 ◽

Author(s):

Hai Yuan ◽

Xiaohan Lu ◽

E Guo ◽

Fengqi Hu ◽

Zhao Gao

Keyword(s):

Acute Kidney Injury ◽

Case Report ◽

Kidney Function ◽

Kidney Injury ◽

Hubei Province ◽

Review Of Literature ◽

Case Presentation ◽

High Incidence ◽

Careful Management ◽

High Incidence Area

Abstract Background: In December 2019, an outbreak of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) occurred in Wuhan, Hubei province, China. We surveyed 91 patients who were diagnosis as coronavirus disease 2019 (COVID-19) in Xiangyang, Hubei province. And we found the incident of acute kidney injury (AKI) was 3.29% (3/91), which was higher than in the whole country but similar in Hubei province.Case presentation: We describe a case of 58-year-old man who was diagnosis as AKI stage 3 and non-oliguria AKI in the SARS-CoV-2 infection. After antiviral and other supporting treatment, his kidney function improved and he was transferred to normal ward.Conclusions: This case illustrated that careful management and strict monitoring of kidney function should be employed in COVID-19 patients especially in high incidence area of COVID-19.

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Solving an unusual case of acute kidney injury: Questions

Pediatric Nephrology ◽

10.1007/s00467-021-05258-7 ◽

2021 ◽

Author(s):

Uttam Garg ◽

Eugenio Taboada ◽

Katherine L. Kurzinski ◽

Clarence C. Frazee ◽

Darcy K. Weidemann ◽

...

Keyword(s):

Acute Kidney Injury ◽

Unusual Case ◽

Kidney Injury

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An unusual case of acute kidney injury due to vancomycin lessons learnt from reliance on eGFR

Nephrology Dialysis Transplantation ◽

10.1093/ndt/gfm251 ◽

2007 ◽

Vol 22 (8) ◽

pp. 2391-2394 ◽

Cited By ~ 12

Author(s):

K. Barraclough ◽

M. Harris ◽

V. Montessori ◽

A. Levin

Keyword(s):

Acute Kidney Injury ◽

Unusual Case ◽

Kidney Injury ◽

Lessons Learnt

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Renal replacement therapy-requiring acute kidney injury due to tubulointerstitial nephritis and uveitis syndrome: case report

Journal of Medical Case Reports ◽

10.1186/s13256-021-03147-z ◽

2021 ◽

Vol 15 (1) ◽

Author(s):

B. Marahrens ◽

K. Amann ◽

K. Asmus ◽

S. Erfurt ◽

D. Patschan

Keyword(s):

Acute Kidney Injury ◽

Renal Replacement Therapy ◽

Replacement Therapy ◽

Kidney Function ◽

Tubulointerstitial Nephritis ◽

Kidney Injury ◽

Rare Type ◽

Case Presentation ◽

New Onset

Abstract Background Acute kidney injury is a major challenge for today’s healthcare systems around the globe. Renal replacement therapy has been shown to be beneficial in acute kidney injury, but treatment highly depends on the cause of the acute kidney injury. One less common cause is tubulointerstitial nephritis, which comes in different entities. A very rare type of tubulointerstitial nephritis is tubulointerstitial nephritis and uveitis syndrome, in which the patient presents with additional uveitis. Case presentation A 19-year-old caucasian male presented with mild dyspnea, lack of appetite, weight loss, and moderate itchiness. Lab results showed an acute kidney injury with marked increase of serum creatinine. The patient was started on prednisolone immediately after admission. As the patient in this case showed symptoms of uremia on admission, we decided to establish renal replacement therapy, which is unusual in tubulointerstitial nephritis and uveitis syndrome. During his course of dialysis, the patient developed symptoms of sepsis probably due to a catheter-related infection requiring intensive care and antibiotic treatment, which had to be terminated early as the patient developed a rash. Intensified immunosuppression, combined with antibiotics, significantly resolved excretory kidney dysfunction. Conclusions Since both the primary inflammatory process and the secondary infectious complication significantly impaired excretory kidney function, kidney function of younger individuals with new-onset anterior uveitis should be monitored over time and during follow-up.

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An unusual case of acute kidney injury – idiopathic granulomatous tubulointerstitial nephritis

Clinical Nephrology ◽

10.5414/cn108543 ◽

2015 ◽

Vol 84 (2015) (10) ◽

pp. 247-250 ◽

Cited By ~ 4

Author(s):

Olga Balafa ◽

Georgios Liapis ◽

Anila Duni ◽

Sophia Xiromeriti ◽

Rigas Kalaitzidis ◽

...

Keyword(s):

Acute Kidney Injury ◽

Unusual Case ◽

Tubulointerstitial Nephritis ◽

Kidney Injury

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Malignant Hypertension Causing a Pulmonary-Renal Syndrome

Case Reports in Nephrology ◽

10.1155/2018/3273695 ◽

2018 ◽

Vol 2018 ◽

pp. 1-4

Author(s):

Bryan Yong ◽

David A. Power

Keyword(s):

Acute Kidney Injury ◽

Renal Failure ◽

Severe Hypertension ◽

Kidney Injury ◽

Malignant Hypertension ◽

Microscopic Haematuria ◽

Case Presentation ◽

Anca Vasculitis ◽

History Of ◽

Pulmonary Renal Syndrome

Background. Pulmonary-renal syndrome is characterised by acute kidney injury, haematuria, and haemoptysis and is a well-recognised presentation of diseases such as ANCA vasculitis that require urgent immunosuppression. Case Presentation. A patient presented with a brief history of haemoptysis, acute renal failure, microscopic haematuria, and severe hypertension. The diagnosis was initially not clear so he was treated with antihypertensives, renal replacement therapy, and immunosuppression. Renal biopsy subsequently showed evidence of malignant hypertension. Autoantibodies were uniformly negative. Conclusions. This case demonstrates that malignant hypertension can present as pulmonary-renal syndrome.

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