scholarly journals Venom Induced Toxic Ventriculitis Resulting in Acute Reversible Communicating Internal Hydrocephalus, Acute Pituitary Haemorrhage, Acute Hypopituitarism, Acute Kidney Injury, Septicaemia, Cellulitis and DIC Due to Viper Bite in a Young Farmer: A Case Report

2021 ◽  
Vol 2 (8) ◽  
pp. 654-659
Author(s):  
Khin Phyu Pyar ◽  
Soe Win Hlaing ◽  
Aung Aung ◽  
Zar Ni Htet Aung ◽  
Nyan Lin Maung ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Renal Failure ◽  
Cerebrospinal Fluid ◽  
Case Report ◽  
Renal Replacement Therapy ◽  
Ct Scan ◽  
Kidney Injury ◽  
Free T4 ◽  
Enhanced Ct ◽  
Internal Hydrocephalus

A young farmer, tenth standard student, helping his grandfather during holiday, developed anuria after viper bite. Because of headache, non-enhanced CT scan head was done on admission which showed a small pituitary haemorrhage with normal ventricles. Later, he had generalized fits and second non-enhanced CT scan head was repeated which revealed a small pituitary haemorrhage with dilated ventricles. He also had acute kidney injury, septicaemia, cellulitis and DIC. The serum level of TSH, free T3 & free T4 were low; thus, replacement was done. Cerebrospinal fluid study (protein, sugar, cells) including culture was normal. Renal replacement therapy (haemodialysis), platelets transfusion and antibiotics were given. He had torrential polyuria (urine output 12 liter per day) when he recovered from renal failure and it improved dramatically with desmopressin replacement. There was improvement in third non-enhanced CT scan head and fourth one was consistent with normal ventricle and reduction in size of pituitary haemorrhage.

scholarly journals Hyperchloremic Metabolic Acidosis due to Cholestyramine: A Case Report and Literature Review

2015 ◽  
Vol 2015 ◽  
pp. 1-3 ◽  
Author(s):  
Fareed B. Kamar ◽  
Rory F. McQuillan
Keyword(s):  
Acute Kidney Injury ◽  
Renal Failure ◽  
Case Report ◽  
Metabolic Acidosis ◽  
Bile Acid ◽  
Literature Review ◽  
Adult Male ◽  
Kidney Injury ◽  
Bile Acid Malabsorption ◽  
Hyperchloremic Metabolic Acidosis

Cholestyramine is a bile acid sequestrant that has been used in the treatment of hypercholesterolemia, pruritus due to elevated bile acid levels, and diarrhea due to bile acid malabsorption. This medication can rarely cause hyperchloremic nonanion gap metabolic acidosis, a complication featured in this report of an adult male with concomitant acute kidney injury. This case emphasizes the caution that must be taken in prescribing cholestyramine to patients who may also be volume depleted, in renal failure, or taking spironolactone.

scholarly journals Acute kidney injury secondary to hypothyroidism induced rhabdomyolysis: a case report

2020 ◽  
Vol 11 (1) ◽  
pp. 72-74
Author(s):  
Md Amirul Islam Kudrat Ullah ◽  
Rahul Prasad Ghosh ◽  
Fatisha Khanam ◽  
Ishrat Jahan ◽  
Tufayel Ahmed Chowdhury ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Renal Failure ◽  
Case Report ◽  
Thyroid Hormone ◽  
Renal Impairment ◽  
Thyroid Function ◽  
Kidney Injury ◽  
Common Disease ◽  
Hemodynamic Effects ◽  
Rare Presentation

Renal impairment is occasionally reported in association with hypothyroidism. We report a case of a middle aged man, who presented with features of rhabdomyolysis and acute kidney injury which was ascribed to underlying undiagnosed hypothyroidism. The etiology is presumed to be multifactorial; hemodynamic effects and a direct effect of thyroid hormone on the kidney play important role. This case enlivens the necessity of assessing thyroid function in cases of unexplained renal failure. Awareness about this rare presentation of a common disease would alert the physician to effectively treat this dreaded yet reversible complication. Birdem Med J 2021; 11(1): 72-74

scholarly journals Intensity of renal replacement therapy in acute kidney injury: perspective from within the Acute Renal Failure Trial Network Study

Critical Care ◽  
2009 ◽  
Vol 13 (4) ◽  
pp. 310 ◽  
Author(s):  
Paul M Palevsky ◽  
Theresa Z O'Connor ◽  
Glenn M Chertow ◽  
Susan T Crowley ◽  
Jane Zhang ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Kidney Injury ◽  
Trial Network

Acute Kidney Injury Following Wasp Stings - A Case Report and Literature Review

2018 ◽  
Vol 42 (2) ◽  
pp. 98-101
Author(s):  
Sayeeda Anwar ◽  
Nasir Hossain ◽  
Farzana Kabir Rozana ◽  
Sultan Mahamud Sumon
Keyword(s):  
Acute Kidney Injury ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Case Report ◽  
Kidney Injury ◽  
Wasp Sting ◽  
Renal Functions ◽  
Wasp Stings ◽  
Supportive Management ◽  
Fatal Complications

The manifestations of wasp stings are usually benign and localized at the site of stings but susceptible individuals may present with multisystem and potentially fatal complications like hemolytic anaemia, acute renal failure and shock. We report here a child who developed acute kidney injury seven days after multiple wasp stings. The renal functions recovered with supportive management including two sessions of peritoneal dialysis. This case report highlights that management of some of the wasp stings should be done in consultation with centre which has facilities for dialysis. The management of wasp sting should be started as early as possible and when progressive renal failure ensues, intensive dialysis support results in good renal recovery in majority of survivors.Bangladesh J Child Health 2018; VOL 42 (2) :98-101

scholarly journals 119 CORRECTION OF EXTREME HYPERNATREMIA IN ACUTE KIDNEY INJURY WITH CONTINUOUS RENAL REPLACEMENT THERAPY: A CASE REPORT

2017 ◽  
Vol 2 (4) ◽  
pp. S40-S41
Author(s):  
Su Hooi Teo ◽  
Alvin Ren Kwang Tng ◽  
Kian-Guan Lee ◽  
Jiunn Wong ◽  
Jia Liang Kwek ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Case Report ◽  
Renal Replacement Therapy ◽  
Continuous Renal Replacement Therapy ◽  
Replacement Therapy ◽  
Kidney Injury

Preoperative Low Serum Albumin Levels Increase the Requirement of Renal Replacement Therapy after Cardiac Surgery

2016 ◽  
Vol 19 (3) ◽  
pp. 123 ◽  
Author(s):  
Orhan Findik ◽  
Ufuk Aydin ◽  
Ozgur Baris ◽  
Hakan Parlar ◽  
Gokcen Atilboz Alagoz ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Regression Analysis ◽  
Cardiac Surgery ◽  
Renal Replacement Therapy ◽  
Serum Albumin ◽  
Replacement Therapy ◽  
Kidney Injury ◽  
Preoperative Serum ◽  
Group I ◽  
Group Ii

<strong>Background:</strong> Acute kidney injury is a common complication of cardiac surgery that increases morbidity and mortality. The aim of the present study is to analyze the association of preoperative serum albumin levels with acute kidney injury and the requirement of renal replacement therapy after isolated coronary artery bypass graft surgery (CABG).<br /><strong>Methods:</strong> We retrospectively reviewed the prospectively collected data of 530 adult patients who underwent isolated CABG surgery with normal renal function. The perioperative clinical data of the patients included demographic data, laboratory data, length of stay, in-hospital complications and mortality. The patient population was divided into two groups: group I patients with preoperative serum albumin levels &lt;3.5 mg/dL; and group II pateints with preoperative serum albumin levels ≥3.5 mg/dL.<br /><strong>Results:</strong> There were 413 patients in group I and 117 patients in group II. Postoperative acute kidney injury (AKI) occured in 33 patients (28.2%) in group I and in 79 patients (19.1%) in group II. Renal replacement therapy was required in 17 patients (3.2%) (8 patients from group I; 9 patients from group II; P = .018). 30-day mortality occurred in 18 patients (3.4%) (10 patients from group I; 8 patients from group II; P = .037). Fourteen of these patients required renal replacement therapy. Logistic regression analysis revealing the presence of lower serum albumin levels preoperatively was shown to be associated with increased incidence of postoperative AKI (OR: 1.661; 95% CI: 1.037-2.661; <br />P = .035). Logistic regression analysis also revealed that DM (OR: 3.325; 95% CI: 2.162-5.114; P = .000) was another independent risk factor for AKI after isolated CABG. <br /><strong>Conclusion:</strong> Low preoperative serum albumin levels result in severe acute kidney injury and increase the rate of renal replacement therapy and mortality after isolated CABG.

ACUTE KIDNEY INJURY IN ELDERLY PATIENTS

2019 ◽  
Vol 72 (8) ◽  
pp. 1466-1472
Author(s):  
Grażyna Kobus ◽  
Jolanta Małyszko ◽  
Hanna Bachórzewska-Gajewska
Keyword(s):  
Acute Kidney Injury ◽  
Renal Failure ◽  
Acute Renal Failure ◽  
Elderly Patients ◽  
Older Patients ◽  
Age Groups ◽  
Kidney Injury ◽  
The Elderly ◽  
Younger Patients ◽  
Common Cause

Introduction: In the elderly, impairment of kidney function occurs. Renal diseases overlap with anatomic and functional changes related to age-related involutionary processes. Mortality among patients with acute renal injury is approximately 50%, despite advances in treatment and diagnosis of AKI. The aim: To assess the incidence of acute kidney injury in elderly patients and to analyze the causes of acute renal failure depending on age. Materials and methods: A retrospective analysis included medical documentation of patients hospitalized in the Nephrology Clinic during the 6-month period. During this period 452 patients were hospitalized in the clinic. A group of 77 patients with acute renal failure as a reason for hospitalization was included in the study. Results: The prerenal form was the most common cause of AKI in both age groups. In both age groups, the most common cause was dehydration; in the group of patients up to 65 years of age, dehydration was 29.17%; in the group of people over 65 years - 43.39%. Renal replacement therapy in patients with AKI was used in 14.29% of patients. In the group of patients up to 65 years of age hemodialysis was 16.67% and above 65 years of age. -13.21% of patients. The average creatinine level in the group of younger patients at admission was 5.16 ± 3.71 mg / dl, in the group of older patients 3.14 ± 1.63 mg / dl. The size of glomerular filtration GFR in the group of younger patients at admission was 21.14 ± 19.54 ml / min, in the group of older patients 23.34 ± 13.33 ml / min. Conclusions: The main cause of acute kidney injury regardless of the age group was dehydration. Due to the high percentage of AKI in the elderly, this group requires more preventive action, not only in the hospital but also at home.

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