Recurrent, refractory hypokalemia as a diagnostic clue to thyrotoxic periodic paralysis in a patient with acute kidney injury and suspected Guillain-Barre syndrome.

Hypokalemia can be multifactorial. When the primary driver of hypokalemia is obvious it is easy to miss other contributing causes that could be vital to optimal patient management and outcomes. Our case report highlights the importance of recognizing recurrent, refractory hypokalemia as a diagnostic clue to thyrotoxic periodic paralysis.

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Recurrent, refractory hypokalemia as a diagnostic clue to thyrotoxic periodic paralysis in a patient with acute kidney injury and suspected Guillain‐Barre syndrome

Clinical Case Reports ◽

10.1002/ccr3.4443 ◽

2021 ◽

Vol 9 (6) ◽

Author(s):

Vishwanath Pattan ◽

Ken C. Chiu ◽

Raynald Samoa

Keyword(s):

Acute Kidney Injury ◽

Kidney Injury ◽

Periodic Paralysis ◽

Guillain Barre Syndrome ◽

Thyrotoxic Periodic Paralysis ◽

Guillain Barré Syndrome ◽

Diagnostic Clue ◽

Guillain Barré

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Successful treatment of decompression sickness complicated with acute hepatic infarction and acute kidney injury: a case report

Undersea and Hyperbaric Medicine ◽

10.22462/01.03.2019.10 ◽

2019 ◽

pp. 81-85

Author(s):

Se Hyun Oh ◽

◽

Hui Dong Kang ◽

Sang Ku Jung ◽

Sangchun Choi ◽

...

Keyword(s):

Acute Kidney Injury ◽

Case Report ◽

Hyperbaric Oxygen ◽

Successful Treatment ◽

Decompression Sickness ◽

Kidney Injury ◽

Pressure Change ◽

Hepatic Infarction ◽

Hbo2 Therapy

Decompression sickness is a disease caused by abrupt pressure change and presents various symptoms. To date, acute kidney injury associated with decompression sickness has been reported frequently, but there is no report of hepatic infarction associated with decompression sickness. We report a case of acute kidney injury and acute hepatic infarction treated with hyperbaric oxygen (HBO2) therapy and dialysis in a patient with severe decompression sickness after work diving.

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G236(P) Acute kidney injury secondary to acute bilateral vesicoureteric obstruction: a case report

10.1136/archdischild-2019-rcpch.230 ◽

2019 ◽

Author(s):

AM Lee ◽

N Martin ◽

S De

Keyword(s):

Acute Kidney Injury ◽

Case Report ◽

Kidney Injury

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Rhabdomyolysis, Acute Kidney Injury, and a Novel Frameshift Mutation in a Child with Glutaric Acidemia Type I

Nephron ◽

10.1159/000515012 ◽

2021 ◽

pp. 1-6

Author(s):

Linlin Huang ◽

Ting Shi ◽

Ying Li ◽

Xiaozhong Li

Keyword(s):

Acute Kidney Injury ◽

Case Report ◽

Frameshift Mutation ◽

Novel Mutation ◽

Kidney Injury ◽

Febrile Illness ◽

Type I ◽

Continuous Venovenous Hemodiafiltration ◽

Glutaric Acidemia Type I ◽

Acute Decompensation

This is a case report of a girl with glutaric acidemia type I (GA-I) who experienced rhabdomyolysis and acute kidney injury (AKI). Her first acute metabolic crisis occurred at the age of 5 months, which mainly manifested as irritable crying, poor appetite, and hyperlactatemia. Mutation analysis showed 2 pathogenic mutations in the glutaryl-CoA dehydrogenase (GCDH) gene, which were c.383G>A (p.R128Q) and c.873delC (p.N291Kfs*41), the latter of which is a novel frameshift mutation of GA-I. She had a febrile illness at the age of 12 months, followed by AKI and severe rhabdomyolysis. Four days of continuous venovenous hemodiafiltration (CVVHDF) helped to overcome this acute decompensation. This case report describes a novel mutation in the GCDH gene, that is, c.873delC (p.N291Kfs*41). Also, it highlights the fact that patients with GA-I have a high risk of rhabdomyolysis and AKI, which may be induced by febrile diseases and hyperosmotic dehydration; CVVHDF can help to overcome this acute decompensation.

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The Use of Supra-Hemodiafiltration in Traumatic Rhabdomyolysis and Acute Kidney Injury: A Case Report

Case Reports in Nephrology and Dialysis ◽

10.1159/000507424 ◽

2021 ◽

pp. 26-35

Author(s):

Gabriele Donati ◽

Maria Cappuccilli ◽

Federica Di Filippo ◽

Simone Nicoletti ◽

Marco Ruggeri ◽

...

Keyword(s):

Acute Kidney Injury ◽

Case Report ◽

Septic Patient ◽

Medical Therapy ◽

Kidney Injury ◽

First Case ◽

Successful Recovery

Oliguric acute kidney injury due to traumatic rhabdomyolysis can be potentially lethal if the proper medical therapy combined with extracorporeal detoxification is not performed. Different extracorporeal techniques are available to overcome this syndrome. Here, we report the first case of removal of myoglobin and successful recovery from acute kidney injury in an elderly septic patient using supra-hemodiafiltration with endogenous reinfusion technique (HFR-Supra) combined with the medical therapy.

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