共查询到20条相似文献,搜索用时 0 毫秒
1.
Nayak Shobhana G.; Satish Renuka; Kedley Prashant; Deshpande Raviprakash; Gokulnath ; Garg Isha 《Nephrology, dialysis, transplantation》2007,22(1):264-265
Post-infectious glomerulonephritis as a cause of acute glomerulardisease and renal failure during pregnancy has been rarely reported.We report a patient with acute glomerulonephritis during thesecond trimester of an otherwise uncomplicated pregnancy, whopresented with acute renal failure (ARF), the diagnosis of whichwas confirmed by renal biopsy.
Case
A 21-year-old 相似文献
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Acute renal failure (ARF) is an uncommon complication in children with nephrotic syndrome. We report here the case of a 10-year-old
male child with primary steroid-resistant nephrotic syndrome who was non-responsive to steroids and cyclophosphamide. A kidney
biopsy revealed that he had focal segmental glomerulosclerosis. His treatment was initiated with tacrolimus (dose of 0.15 mg/kg/day)
in two divided doses along with prednisolone 60 mg/m2/daily. After 1 month of treatment, he was diagnosed as having acute renal failure secondary to HUS. This was postulated to
be due to the tacrolimus therapy, which was withdrawn. Two weeks after stopping the adminsitration of tacrolimus, his urine
output improved, and the hemoglobin and serum creatinine normalized. Thus, tacrolimus-induced HUS is a rare cause of ARF in
nephrotic syndrome. With the increasing use of tacrolimus in steroid-resistant nephrotic syndrome, the treating physicians
need to be aware of this rare, but potentially life-threatening side effect. 相似文献
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Ozaltin F Yalçin B Orhan D Sari N Caglar M Besbas N Bakkaloglu A 《Pediatric nephrology (Berlin, Germany)》2004,19(8):912-914
Renal involvement is a common finding in non-Hodgkins lymphoma (NHL). Acute renal failure at initial presentation due to lymphomatous infiltration of the kidneys has been described infrequently. We report a 17-year-old male who presented with acute renal failure due to massive lymphomatous infiltration of the kidneys, which necessitated hemodialysis. The diagnosis of B-cell NHL was established by tru-cut biopsy of the kidneys and the patient had an excellent response to high-dose chemotherapy with no major complication. The presence of extrarenal involvement in the testes and the retroperitoneal lymph nodes made the diagnosis of primary renal lymphoma debatable. However, considering the delay in diagnosis and the high proliferative rate of B-cell NHL, we might postulate that the disease had originated primarily in the kidneys. We recommend that in NHL cases with severe renal involvement, full-dose chemotherapy should be instituted with meticulous clinical and laboratory follow-up in order to improve clinical and renal failure status rapidly and to avoid further dissemination of NHL. 相似文献
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Acute renal failure - an unusual consequence of uterine prolapse 总被引:3,自引:0,他引:3
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Fenofibrate, a fibric acid derivative, is used to treat diabetic dyslipidemia, hypertriglyceridemia, and combined hyperlipidemia alone or in combination with statins. Rhabdomyolysis is defined as a pathological condition of skeletal muscle cell damage leading to the release of toxic intracellular material into the circulation. Its major causes include trauma, ischemia, toxins, metabolic disorders, infections, and drugs. Rhabdomyolysis associated with fenofibrate is extremely rare. In nearly all of the presented cases, there was a predisposing factor for rhabdomyolysis such as diabetes, older age, renal insufficiency, and hypothyroidism. Here, we report a nondiabetic, nonhypothyroidic young female patient without any known prior renal disease presenting with acute renal failure developing after fenofibrate treatment. 相似文献
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Lo Chien An 《World journal of urology》1984,2(3):234-235
Summary The clinical and pathological aspects in 23 cases of acute renal failure (ARF) due to crush-compression are presented. The chief findings are oliguria or anuria, usually occurring within 48 hours of trauma, and severe uremia, hyperkalemia and elevation of muscle enzymes. The mortality in this series was 30,4%, most commonly due to infectious complications. Treatment principles are aggressive debridement, early dialysis and, when clinically indicated by lack of response to these measures, amputation of the crushed extremity. 相似文献
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Over a 31-year period, we have encountered 13 children with a disease entity not reported by other clinics that leads to rapidly
progressive crescentic glomerulonephritis. Gross hematuria, rapidly declining renal function, and a serum C3 level at the
lower limit of normal or slightly depressed usually characterized the disease onset; hypertension and nephrotic syndrome were
absent. Glomerular IgG was absent, but large C3-containing subepithelial deposits on the paramesangial basement membrane (GBM)
were always present. Because of these deposits and because dense alteration of the GBM was found in 3 patients, the disease
may resemble membranoproliferative glomerulonephritis type II, but is distinguishable on other morphological and clinical
grounds. The absence of anti-neutrophil cytoplasmic antibody, tested for in 5 of 13 patients, is one of several ways the disease
differs from the pauci-immune glomerulonephritis of adults. Clinically and by glomerular morphology, it also differs from
severe poststreptococcal acute glomerulonephritis. Treatment with high-dose corticosteroids has been highly successful. Because
in this series the disease occurred only in children under age 12 years and the amount of silver-positive mesangial matrix
was normal, indicating absence of mesangial proliferation, it has been designated juvenile acute non-proliferative glomerulitis.
Received: 31 March 1999 / Revised: 15 October 1999 / Accepted: 20 October 1999 相似文献
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A 10-year-old child with a 2-month history of tracheitis presented with acute stridor, for which he required tracheostomy. Granulation tissue was found in the subglottic region and he was treated with antibiotics and corticosteroids. A week after successful decannulation of his tracheostomy, his stridor recurred and, on endoscopy under general anaesthesia, circumferential granulomas extending into both main bronchi were found. A diagnosis of Wegener's granulomatosis was made and confirmed on histology. 相似文献
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Acute lower extremity ischemia in a 7-year-old boy: an unusual case of popliteal entrapment syndrome
Bernheim JW Hanson J Hansen J Faries P Kilaru S Winchester P Mousa A Trost D Kent KC 《Journal of vascular surgery》2004,39(6):189-1343
Popliteal artery entrapment syndrome is a rare cause of acute limb ischemia that most commonly is seen in young adults. The most significant complications associated with popliteal entrapment include aneurysm formation and acute thrombosis. This case presents the youngest patient ever reported with this syndrome and highlights the advantages of multimodal treatment including thrombolysis, popliteal aneurysm resection, and revascularization. Although a significant body of literature exists on popliteal entrapment syndrome in teenagers and young adults, it has not been reported previously in a patient younger than 11 years. Limb salvage was achieved in this patient with a combination of endovascular and surgical techniques. 相似文献
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Monge M Vaida I Modeliar SS Solanilla A Airapetian N Presne C Makdassi R Fournier A Choukroun G 《Clinical nephrology》2007,67(5):318-320
We report a case of a retroperitoneal hematoma occurring in a patient under anticoagulation therapy for deep-venous thrombosis and presenting as an anuric acute renal failure. A coexisting polycythemia vera led to misdiagnosis that could have been life-threatening. A woman, known for polycythemia vera and a single functioning right kidney, was admitted with mild abdominal pain in a context of recent deep venous thrombosis under low-molecular weight heparin. Clinical examination revealed hepatomegaly associated with polycythemia vera. Biochemical evaluation disclosed an acute renal failure, and renal ultrasonography showed no dilation of the renal pelvis. Retroperitoneal hematoma resulted in shock, progressive anemia and obstructive renal failure, related to renal pelvic compression. A right renal indwelling catheter was introduced to restore urine flow after one hemodialysis session, and an inferior vena cava filter was placed because of anti-coagulation contra-indication. However, pulmonary embolism occurred, so that oral anticoagulants were introduced. The hematoma resorbed spontaneously, and a year after this episode, the patient is still alive and well. Retroperitoneal hematoma is a rare cause of obstructive acute renal failure and a life-threatening complication of anti-coagulation therapy. 相似文献
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We report a rare case of acute renal failure secondary to bilateral renal parenchymal metastases from carcinoma. Despite clinical investigation the cause of the renal failure remained undiagnosed and was discovered only upon microscopy at autopsy, which revealed metastatic gastric adenocarcinoma. The pattern of tumor infiltration was predominantly lymphatic involvement limited to the vascular bundles at the corticomedullary junction, and the lymphatics adjacent to the calices and pelves. The significance of lymphatic obstruction in the pathogenesis of renal failure is discussed. Renal parenchymal metastases should be considered in the differential diagnosis of acute renal failure in patients with carcinoma. 相似文献
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Carine Hottelart Mirela Diaconita Béatrice Champtiaux Fabien Soulis Jean-Claude Aldigier 《Nephrology, dialysis, transplantation》2004,19(9):2421-2422
Sir, We report the case of a 51-year-old man with no medical historyand no treatment who developed acute renal failure (ARF) aftercold water immersion. He was admitted to hospital in Augustafter nearly drowning in a lake while trying to save his dogwhich was drowning. When he got back to the shore, he was exhaustedand fainted briefly. He was 相似文献
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Hypoventilation secondary to brainstem stroke resulting in chronic respiratory failure is extremely uncommon. This case documents the treatment of chronic type II respiratory failure secondary to central hypoventilation with medroxyprogesterone, a new treatment option. 相似文献