{"title":"De Novo Minimal Changes Disease Associated to Inoculation with Adenovirus Vector Vaccine (Sputnik V)","authors":"","doi":"10.33140/ajun.04.01.01","DOIUrl":"https://doi.org/10.33140/ajun.04.01.01","url":null,"abstract":"Due to the pandemic caused by the virus SARS-CoV-2, multiple therapeutic and preventive strategies have been developed in order to avoid its propagation. Vaccines have been proved to be the most efficient means to control the spread of COVID 19, which has prevented both massive admissions of critical patients to intensive care units and the collapse of the health system from happening. To the present day there are different tested vaccine platforms with adenovirus vectors, inactivated vaccines and nucleic acid vaccines, among others [1]. As the vaccination process moved forward around the globe, there has been a number of publications reporting on adverse renal events, which included case reports on Secondary Nephrotic Syndome derived from Minimal Changes Disease (MCD) after the application of both, nucleic acid (RNAm) and adenovirus vector vaccines. Case presentation: male patient presented with nephrotic syndrome without microhematuria and with renal dysfunction after the application of the second dose of SPUTNIK V vaccine, which is why a renal biopsy was carried out. Such biopsy reported it was a case of MCD, which had a complete remission after six weeks of oral corticosteroids.","PeriodicalId":93064,"journal":{"name":"Advancements in journal of urology and nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44885900","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Methylprednisolone Protects Severe Acute Pancreatitis And Pancreatitis-Associated Acute Lung Injury in Mice By Inhibiting NLRP3 Inflammasome Through NF-κB","authors":"","doi":"10.33140/ajun.04.01.03","DOIUrl":"https://doi.org/10.33140/ajun.04.01.03","url":null,"abstract":"In serve acute pancreatitis (SAP), the rapid production and releasing of inflammatory cytokines can cause local and systemic excessive inflammation, especially pancreatitis-associated acute lung injury (P-ALI). Methylprednisolone (MP) is a synthetic corticosteroid with potent anti-inflammatory and antioxidant properties used as therapy for a variety of diseases. In this study, we found MP, used in the early phase of SAP, decreased the levels of IL-1β and TNF-α in serum and peritoneal lavage fluids (PLF), reduced the level of serum amylase and the expression of MPO in lung tissue, attenuated the pathological injury of the pancreas and lungs in a dosedependent manner. The expression of NLRP3 and IL-1β in pancreas and lungs was down regulated significantly depending on the MP concentration. In vitro, MP reduced the levels of IL-1β and TNF-α by down regulating the expression of NLRP3, IL-1β and p-NF-κB in isolated peritoneal macrophages. Taken together, MP can attenuate the injury of pancreas and lungs, and the inflammatory response in SAP mice by down regulating the activation of NF-κB and the NLRP3 inflammasome.","PeriodicalId":93064,"journal":{"name":"Advancements in journal of urology and nephrology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41999005","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute Medical (bedside) Peritoneal Dialysis catheter insertion in Intensive Therapy Unit setting, an overlooked Renal Replacement Therapy option, A Case Study","authors":"M. Fawzy","doi":"10.33140/ajun.03.01.03","DOIUrl":"https://doi.org/10.33140/ajun.03.01.03","url":null,"abstract":"A 56-year-old woman with a background of long-standing type II diabetes and chronic kidney disease presented to hospital with fevers, cough and shortness of breath. She had been self-isolating due to COVID-19 a week prior to admission. Her admission resulted in a long stay in intensive care unit with acute kidney injury. Due to her hypercoagulability state, multiple attempts of haemodialysis and filtration failed resulting in the first attempt of bedside (non-fluoroscopic guided) insertion of peritoneal dialysis catheter in an ITU setting in the region of Essex. We note that usually in an ITU setting, haemodialysis is commonly used. Our case therefore serves as an important reminder that peritoneal dialysis (PD) can serve a significant value for patients with acute kidney injury when haemodialysis cannot help in.","PeriodicalId":93064,"journal":{"name":"Advancements in journal of urology and nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49209149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Acute Renal Failure Induced by Madder","authors":"","doi":"10.33140/ajun.03.01.01","DOIUrl":"https://doi.org/10.33140/ajun.03.01.01","url":null,"abstract":"Madder or Rubia Tincturium, called in Morocco ELFOUA is a plant belonging to the Rubiaceae family. Used in Morocco for its cosmetic food and therapeutic properties in particularly anemia and all blood diseases. It can be toxic if it is incorrectly dosed. We report 3 cases of nephrotoxicity collected in the nephrology and hemodialysis service of the IBNROCHD university hospital center in Casablanca: 3 women aged 15, 39 and 47 years, following the ingestion of infusion of this plant at doses indeterminate, presented with acute tubuleinterstitial nephritis. These new cases of nephrotoxicity at RUBIA TINCTURIUM must challenge the need to know how to evoke the diagnosis, to inform, to fight against the trivialization of its consumption, to encourage research on the traditional pharmacopoeia allowing to identify their therapeutic properties in order to formalize, rationalize and codify their prescriptions.","PeriodicalId":93064,"journal":{"name":"Advancements in journal of urology and nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46170315","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Case for Worldwide Mass Immunization with MMR to Limit Deaths from COVID-19","authors":"","doi":"10.33140/ajun.03.01.02","DOIUrl":"https://doi.org/10.33140/ajun.03.01.02","url":null,"abstract":"It is generally accepted that deaths related to Covid-19 are centred on adults about their 70’s which might be reason for the association with co-morbidities like cardiovascular disease, obesity, diabetes mellitus, chronic kidney disease, chronic lung disease, smoking, cancer especially hematologic malignancies, lung cancer and presence of metastatic disease. The strength of the evidence for these associations is still being investigated. One plausible explanation for all these associations may be their increased risk for micro-thrombotic events in the microvascular circulation of vital organ systems as well as increased risk for thrombo-embolic disease in general. Male patients appear to have higher death rates in China, Italy, Denmark and the US. Black, Hispanic and South Asian patients have increased mortality in the US and this may be related to the disparities in healthcare indices in these populations as well as their higher representation in the “essential work-forces” and associated increased exposure to infection.","PeriodicalId":93064,"journal":{"name":"Advancements in journal of urology and nephrology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42251048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Micropercutaneous Laser Lithotripsy: How to Improve Stone Free Rate","authors":"","doi":"10.33140/ajun.02.04.02","DOIUrl":"https://doi.org/10.33140/ajun.02.04.02","url":null,"abstract":"Introduction: Micropercutaneous Nephrolithotomy is a novel technique with the creation of a 4.85-8F working channel. The advantage of micro-PCNL is the possibility of kidney puncture under direct endoscopic control. Materials and Methods: 99 patients aged 47,3 ± 16.9 years were included in the study. 78 patients had isolated kidney stones (78.8%). The stone size ranged from 8 to 38 mm (13.9 ± 5.4 mm). Group A included stones smaller than 15 mm (57 patients, 57,6%) and Group B included stones larger than 15 mm (42 patients, 42,4%). A 4.85 F percutaneous sheath was used in 38 (38,4%) patients, 8 F sheath was used in 61 (61,6%) patients. A holmium laser for lithotripsy was used in 46.5% cases, the thulium fiber laser in 53.5%. Results: The average surgery time was 39,9 ± 13.7 min (from 13 to 75 min). A stone-free rate (SFR) for patients of both groups was 88.8%. A Double-J stent was placed in 39 (39.4%) patients. In one case conversion to the mini-PCNL was done. In four cases (4%) retrograde stone manipulations were performed through ureteral access sheath. 5 (5.1%) patients required the second micro-PCNL tract. 3 (3%) patients required stenting postoperatively. In 7.1% of cases the episode of acute pyelonephritis developed. In 7 cases (7,1%), Extracorporeal Shock Wave Lithotripsy was required due to residual stones. Conclusions: We recommend using the laser micro-PCNL for the category of patients with severe comorbidities, including coagulopathy. The micro-PCNL could be safely performed in patients with kidney stones larger than 1.5 cm.","PeriodicalId":93064,"journal":{"name":"Advancements in journal of urology and nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47365083","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Prevalence of Grade III Varicocele and Undescended Testis in Turkish Adolescent Males","authors":"","doi":"10.33140/ajun.02.04.03","DOIUrl":"https://doi.org/10.33140/ajun.02.04.03","url":null,"abstract":"Objective: To determine the grade III varicocele and undescended testis (UDT) prevalence, testicular atrophy rate, and treatment rate in adolescent boys aged 13-15 in the Turkish population. Methods: Healthy boys who were candidates for military high schools were evaluated between June and July 2015. Patients with undescended testis or grade III varicocele were recorded. Also, the presence of testicular atrophy and history of previous surgeries were recorded. The prevalence of grade III varicocele and UDT, testicular atrophy rate and treatment data were assessed. Results: Grade III varicocele was detected in 627 (6.48%) of 9669 boys. Testicular atrophy due to grade III varicocele was detected in 213 (33.97%) of the cases. Patients who did not undergo varicocelectomy are more likely to have testicular atrophy than patients who underwent varicocelectomy (35.37% vs 19.64%, p=0.018). The UDT was detected in 96 (0.99%) candidates. Of those, 76 (79.16%) candidates had unilateral, and 20 (20.83%) candidates had bilateral UDT. 84 (87.50%) candidates underwent at least one surgery for the management of UDT and 12.5% of the candidates (n=12) were not aware of their diseases. Conclusion: This study shows us the prevalence of grade III varicocele in our population. Varicocele is a progressive disease that can cause fertility and testicular atrophy increases with the puberty.","PeriodicalId":93064,"journal":{"name":"Advancements in journal of urology and nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45491507","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Safe Use of Rituximab In The Management of ANCA-Associated Vasculitis In A Patient With Suspicious Renal Cyst – A Case Report","authors":"","doi":"10.33140/ajun.02.04.01","DOIUrl":"https://doi.org/10.33140/ajun.02.04.01","url":null,"abstract":"ANCA- Associated Vasculitis (AAV) is a multi-system immune small vessel vasculitis. The use of traditional immunosuppressive agents in the management of ANCA vasculitis is known to increase baseline susceptibility to malignancy [1]. Renal cyst is a commonly encountered incidental finding in clinical practice. Although most cysts found are benign, the identification of complex cysts warrants further diagnostic investigation to exclude a neoplastic process. To shed light on this complex area, the Bosniak system has provided a framework for the classification of cystic renal lesions. The system defines five categories of renal lesions based on radiological features seen on CT or MRI, to stratify the lesions associated risk of malignancy [2].","PeriodicalId":93064,"journal":{"name":"Advancements in journal of urology and nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43129375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"APOL 1 and kidney disease","authors":"","doi":"10.33140/ajun.02.03.04","DOIUrl":"https://doi.org/10.33140/ajun.02.03.04","url":null,"abstract":"APOL1 gene variants have been described to offer higher risk to develop hypertension, collapsing nephropthy and end stage kidney disease. The prevalence of mutations of the APOL1 gene among afro-descendant patients with chronic kidney disease for the G1 and the G2 variants can be of 20–22% and 13–15%, respectively [1]. Moreover this can be a greater problem in afrodescendante based populations, for instance, in Colombia, the genetic background of the populations was shaped by different levels of admixture between Natives, European, and Africans. Approximately 35.363 patients have diagnosed chronic kidney disease and according to population studies, 10.4% of these patients are Afro-descendant, and these frecuency can be as high as 90% in some áreas of this country. Given the importance that accounts on this area in the last years, the purpose of this review is to highlight the majors improvements in the understanding on the biology, pathophysiology and kidney disease development on patients affected with this genetic high risk variants.","PeriodicalId":93064,"journal":{"name":"Advancements in journal of urology and nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41627737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Surgical Complications RevealingNephrotic Syndrome Of Children At ’’Hopital Saint Jean De Dieu De Tanguieta’’ (Benin)","authors":"","doi":"10.33140/ajun.02.03.05","DOIUrl":"https://doi.org/10.33140/ajun.02.03.05","url":null,"abstract":"Background:Thromboembolic and infectious complications of nephrotic syndrome are powerfuland canbefunctional or life threatening. Surgical complications are rare, hence the interest of our work which aimed to study the therapeutic and evolutionary clinical aspects of the surgical complications of the children’s nephrotic syndrome at ’’Hopital Saint Jean De Dieu De Tanguieta’’ (Benin). Methods: This was a prospective case study of children with complicatednephrotic syndrome followed at ‘’Hopital Saint Jean De Dieu De Tanguieta’’ (Benin) fromOctober 2016 to December 2018. Results: We reported two cases, all male. Before surgical complications the symptoms were dominated by an oedema syndrome lasting for each of them on averageeightmonths. Surgical complications thatrevealednephrotic syndrome were a spontaneous amputation of the right foot due to arterialthrombosis in a seven-year-old boy and a necrotizingfasciitis of the left foot in a 10-year-old child.The nephrotic syndrome wasidiopathic and the cares werebothsurgical and medical. Nephrotic syndrome wascorticosensitivewith a goodevolution in five months. Conclusion: These two cases teach that any childhoodoedema syndrome must bequicklyexplored for appropriated management to avoidtheseserious complications and aftereffects.","PeriodicalId":93064,"journal":{"name":"Advancements in journal of urology and nephrology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45224886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}