Case Reports in Nephrology最新文献_第4页

Langerhans Cell Histiocytosis Manifests with Acute Severe Hypernatremia during Hospitalization. 朗格汉斯细胞组织细胞增多症在住院期间表现为急性严重高钠血症。

Case Reports in Nephrology Pub Date : 2022-10-14 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6120644

Kullaya Takkavatakarn, Hansamon Poparn, Pisut Katavetin

引用次数: 0

Concomitant Nephrotic Syndrome and Cryoglobulinemia in a Case of Malignant Mesothelioma. 恶性间皮瘤并发肾病综合征和冷球蛋白血症1例。

Case Reports in Nephrology Pub Date : 2022-09-28 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8677293

Kei Nagai, Hiroaki Tachi, Kohei Inoue, Atsushi Ueda

{"title":"Concomitant Nephrotic Syndrome and Cryoglobulinemia in a Case of Malignant Mesothelioma.","authors":"Kei Nagai, Hiroaki Tachi, Kohei Inoue, Atsushi Ueda","doi":"10.1155/2022/8677293","DOIUrl":"https://doi.org/10.1155/2022/8677293","url":null,"abstract":"Malignant pleural mesothelioma is rarely associated with nephrotic syndrome. Cryoglobulinemia is found in various pathological statuses, such as hepatitis C virus infection but rarely in malignant neoplasms. We recently encountered a patient with malignant mesothelioma coincident with nephrotic syndrome and cryoglobulinemia in the course of chemotherapy. A 60-year-old man employed as a building painter was diagnosed with malignant mesothelioma by lung biopsy two years earlier and was started on chemotherapy. Nivolumab seemed effective in controlling mesothelioma, but skin immune-related adverse events occurred during the course of treatment. After discontinuation of nivolumab and administration of gemcitabine as an alternative therapy, the patient was referred to a nephrologist because of the subsequent development of edema, renal injury, and proteinuria. Following the investigation, he was diagnosed with nephrotic syndrome and cryoglobulinemia with C4-dominant cold activation. However, a percutaneous renal biopsy could not be performed due to persistent severe cough induced by pleural involvement. The patient died a little over three years after the pathological diagnosis of pleural mesothelioma. Our case had three key features nephrotic syndrome was possibly associated with malignant mesothelioma; cryoglobulinemia occurred in malignant mesothelioma; and concomitant nephrotic syndrome and cryoglobulinemia occurred after chemotherapy. Unfortunately, our rare case lacks a basis in renal pathology or evidence of links between the pathogenesis of malignant mesothelioma, cryoglobulinemia, and nephrotic syndrome. This case does not provide a causal mechanism, but may be worth adding to the case list as one of the rare renal involvement in a patient with malignant mesothelioma.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":" ","pages":"8677293"},"PeriodicalIF":0.0,"publicationDate":"2022-09-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9534674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33497086","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

A Rare Case of Extensive Eggshell Intestinal Wall Peritoneal Calcification in a Long-Term Continuous Peritoneal Dialysis Patient. 一例长期连续腹膜透析患者广泛的蛋壳肠壁腹膜钙化。

Case Reports in Nephrology Pub Date : 2022-09-26 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2104120

Erasmia Sampani, Chrysostomos Dimitriadis, Efstratios Kasimatis, Evangelos Memmos, Aikaterini Papagianni

引用次数: 0

Renal Involvement of CD20-Negative Intravascular Large B Cell Lymphoma with Neurological Manifestations. 伴有神经系统表现的cd20阴性血管内大B细胞淋巴瘤累及肾脏。

Case Reports in Nephrology Pub Date : 2022-09-10 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8613965

Faten Aqeel, Serena M Bagnasco, Duvuru Geetha

引用次数: 0

Spontaneous Retroperitoneal Bleeding as a Complication of Unusual Renal Paraganglioma. 自发性腹膜后出血是罕见肾副神经节瘤的并发症。

Case Reports in Nephrology Pub Date : 2022-08-30 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6882451

Tawfeeq I Sangey, Hamim Abdul Rusheke, Ansaar I Sangey, Nimishkumar Chaya, Advera Ngaiza

引用次数: 0

A Case of Paediatric Anti-Glomerular Basement Membrane Disease Associated with Thrombotic Thrombocytopenic Purpura. 儿童抗肾小球基底膜病合并血栓性血小板减少性紫癜1例。

Case Reports in Nephrology Pub Date : 2022-08-27 eCollection Date: 2022-01-01 DOI: 10.1155/2022/2676696

Joseph McAllister, Pradeep Nagisetty, Kay Tyerman

{"title":"A Case of Paediatric Anti-Glomerular Basement Membrane Disease Associated with Thrombotic Thrombocytopenic Purpura.","authors":"Joseph McAllister, Pradeep Nagisetty, Kay Tyerman","doi":"10.1155/2022/2676696","DOIUrl":"https://doi.org/10.1155/2022/2676696","url":null,"abstract":"Anti-GBM disease is a rare vasculitis that causes rapid progressive glomerulonephritis and pulmonary haemorrhage. It is usually an adult diagnosis with isolated paediatric cases reported. Thrombotic thrombocytopenic purpura (TTP) is a rare thrombotic microangiopathy mainly affecting adults that causes multiorgan ischaemia, microangiopathic haemolytic anaemia, and thrombocytopenia. We present the first paediatric case of concurrent anti-GBM disease and TTP. A 14-year-old boy presented with acute kidney failure and severe pulmonary haemorrhage due to anti-GBM disease, confirmed on auto-antibody testing. There was thrombocytopenia and moderately low ADAMTS13 activity suggestive of TTP. The renal prognosis was poor with a need for dialysis. He was severely unwell with pulmonary haemorrhages requiring the use of extracorporeal membrane oxygenation (ECMO). His disease was treated with corticosteroids, plasma exchange (PEX), rituximab, and cyclophosphamide, resulting in remission. Anti-GBM disease is rare in children but should be considered in those presenting with acute kidney injury, particularly where there has been exposure to pulmonary irritants. An aggressive presentation warrants aggressive treatment with methylprednisolone, PEX, and cyclophosphamide. Rituximab may benefit patients that have concurrent TTP. TTP may exacerbate pulmonary disease, but complete respiratory recovery is possible. Disease relapse is rare in the paediatric age group, and these patients are candidates for kidney transplantation.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":" ","pages":"2676696"},"PeriodicalIF":0.0,"publicationDate":"2022-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9440844/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40352291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Gadolinium-Induced Acute Graft Pancreatitis in a Simultaneous Pancreas-Kidney Transplant Recipient. 一名胰肾同时移植受者的钆诱发急性移植物胰腺炎

Case Reports in Nephrology Pub Date : 2022-08-21 eCollection Date: 2022-01-01 DOI: 10.1155/2022/9533266

Chiang Sheng Lee, Rachel Yi Ping Tan, Nitesh N Rao

{"title":"Gadolinium-Induced Acute Graft Pancreatitis in a Simultaneous Pancreas-Kidney Transplant Recipient.","authors":"Chiang Sheng Lee, Rachel Yi Ping Tan, Nitesh N Rao","doi":"10.1155/2022/9533266","DOIUrl":"10.1155/2022/9533266","url":null,"abstract":"Gadolinium-induced acute pancreatitis is a rare phenomenon associated with the administration of gadolinium-based contrast agents. Only five cases of gadolinium-induced acute pancreatitis have been reported worldwide in patients with native pancreas and none with a pancreatic graft. We present a 32-year-old woman with prior history of simultaneous pancreas-kidney transplant who presented with generalized abdominal pain associated with systemic inflammatory response syndrome requiring admission to the intensive care unit. This occurred within 48 hours after having a magnetic resonance imaging (MRI) with gadolinium for investigation of subacute left optic atrophy. She was noted to have a marked rise in serum lipase, and the computed tomography findings were consistent with acute graft pancreatitis. Other causes of pancreatitis were ruled out, and she was managed conservatively with aggressive hydration, bowel rest, and analgesia with good recovery. This is the first reported case of gadolinium-induced acute graft pancreatitis occurring in a simultaneous pancreas-kidney transplant recipient. Clinicians should consider this rare differential diagnosis as a cause of graft pancreatitis in patients who have received gadolinium-based contrast agents.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":" ","pages":"9533266"},"PeriodicalIF":0.0,"publicationDate":"2022-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9420635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40335095","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Ten Cases of Biopsy-Proven Acute Tubulointerstitial Nephritis: Report from a Single Center in a Rural Area from 2008 to 2021. 2008 - 2021年农村单一中心活检证实急性肾小管间质性肾炎10例报告

Case Reports in Nephrology Pub Date : 2022-08-05 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6203803

Kei Nagai, Tsuyoshi Tsukada, Akiko Sakata, Atsushi Ueda

{"title":"Ten Cases of Biopsy-Proven Acute Tubulointerstitial Nephritis: Report from a Single Center in a Rural Area from 2008 to 2021.","authors":"Kei Nagai, Tsuyoshi Tsukada, Akiko Sakata, Atsushi Ueda","doi":"10.1155/2022/6203803","DOIUrl":"https://doi.org/10.1155/2022/6203803","url":null,"abstract":"Acute tubulointerstitial nephritis (ATIN) can be caused by any number of factors, and it accounts for several percent of renal biopsy cases. In Japan, case reports exist, but there are few single-center series of ATIN cases. Case 1. A teenage male patient developed fever and cough on day X-61 and was found to have normal renal function and positive C-reactive protein (CRP) by his primary care physician. On day X-20, he presented with cough and nasal discharge in addition to low-grade fever, and his doctor noted renal dysfunction with serum creatinine of 2.12 mg/dL, negative urine occult blood, and positive urine glucose. Renal biopsy results showed diffuse interstitial nephritis with scarce glomerular involvement. There was no concurrent uveitis. Renal function normalized after 4 months of treatment with moderate-dose prednisolone. Cases 2-10. Of the 422 cases for which renal biopsies were performed at our institution from 2008 to 2021, acute tubulointerstitial nephritis was confirmed clinically and pathologically in 9 cases in addition to case 1, accounting for 2.4% of all biopsy cases. In the analysis of the 10 patients, the median age was 40 years old, eGFR at diagnosis was 19.4 (3.2-49.1) mL/min/1.73 m2, and 2 of them underwent hemodialysis, but both were weaned from dialysis, and the eGFR after treatment was 53.6 (20.8-110.0) mL/min/1.73 m2; all patients showed improvement (P < 0.001). Treatment consisted of steroids in 8 patients and no steroids in 2 patients, the latter being treated by discontinuation of the suspect drugs and treatment of infection; 7 of the 10 patients were examined for ocular uveitis, and uveitis was diagnosed in 5 patients. The causes and clinical course of ATIN are diverse, but it is treated according to individual judgment in addition to standard treatment, and it generally has a good renal prognosis.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":" ","pages":"6203803"},"PeriodicalIF":0.0,"publicationDate":"2022-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33442216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Renal Mucormycosis: Post-COVID-19 Infection Presenting as Unilateral Hydronephrosis in a Young Immunocompetent Male. 肾毛霉病:2019冠状病毒病感染后表现为单侧肾积水的年轻免疫功能正常的男性。

Case Reports in Nephrology Pub Date : 2022-07-21 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3488031

Rabin Nepali, Shreya Shrivastav, Dibya Singh Shah

引用次数: 2

A Case of Oxalate Nephropathy in a Known Diabetic Patient following Acute Alcoholic Pancreatitis. 已知糖尿病患者急性酒精性胰腺炎并发草酸肾病1例。

Case Reports in Nephrology Pub Date : 2022-07-19 eCollection Date: 2022-01-01 DOI: 10.1155/2022/6284693

John Odhiambo, Hanika Patel, Anderson Mutuiri, Fazal Yakub, Ahmed Sokwala

引用次数: 0