Case Reports in Nephrology最新文献_第5页

A Patient with SIADH, Urinary Retention, Constipation, and Bell's Palsy following a Tick Bite. 一例被蜱虫叮咬后出现SIADH、尿潴留、便秘和贝尔氏麻痹的患者。

Case Reports in Nephrology Pub Date : 2022-07-11 eCollection Date: 2022-01-01 DOI: 10.1155/2022/5937131

Mariana Leone, Anwar Iqbal, J R Hugo Bonatti, Samina Anwar, Catherine Feaga

{"title":"A Patient with SIADH, Urinary Retention, Constipation, and Bell's Palsy following a Tick Bite.","authors":"Mariana Leone, Anwar Iqbal, J R Hugo Bonatti, Samina Anwar, Catherine Feaga","doi":"10.1155/2022/5937131","DOIUrl":"https://doi.org/10.1155/2022/5937131","url":null,"abstract":"Introduction. Lyme disease is the most common vector borne disease in the USA caused by the bacterium Borrelia burgdorferi. If untreated, Lyme disease can cause a variety of secondary symptoms often difficult to interpret. Some of the rare manifestations of Lyme disease include SIADH-like syndrome, enteroparesis, and urinary retention. Case Report. A 69-year-old male presented with anorexia and constipation and was found to have hyponatremia. Several days after admission, Bell's palsy developed and he experienced urinary retention requiring catheterization. Lyme disease was confirmed on serology, and he recalled a rash on his elbow four weeks prior. Ceftriaxone was started and the patient improved; he had multiple bowel movements after receiving laxatives and the Foley catheter was removed; serum sodium normalized with fluid restriction. He was discharged home and was well with symptoms completely resolved at three-month follow-up. Discussion. There should be a high alert of atypical presentation of this common tick bite associated infection. Review of the literature revealed ten similar cases, but only three of these patients were reported to have a combination of SIADH, urinary retention, and enteroparesis.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":" ","pages":"5937131"},"PeriodicalIF":0.0,"publicationDate":"2022-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9293531/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40524931","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

Iatrogenic Infective Endocarditis in Hemodialysis Patients: A Case Report and Review of the Literature. 血透患者的医源性感染性心内膜炎1例报告及文献复习。

Case Reports in Nephrology Pub Date : 2022-06-29 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8500299

Ali Oullaï, Edouard Cubilier, Mohamed Tayeb Salaouatchi, Maxime Taghavi, Yasmin Zouggari, Joëlle Nortier, Maria Do Carmo Filomena Mesquita

{"title":"Iatrogenic Infective Endocarditis in Hemodialysis Patients: A Case Report and Review of the Literature.","authors":"Ali Oullaï, Edouard Cubilier, Mohamed Tayeb Salaouatchi, Maxime Taghavi, Yasmin Zouggari, Joëlle Nortier, Maria Do Carmo Filomena Mesquita","doi":"10.1155/2022/8500299","DOIUrl":"https://doi.org/10.1155/2022/8500299","url":null,"abstract":"Foreign bodies such as implanted cardiac devices are susceptible to infections and may be involved in infective endocarditis. Exposure to pathogens, by frequent use of intravascular accesses for hemodialysis (i.e., catheters or fistulas), combined with high rates of degenerative heart valve diseases in hemodialysis patients, both favor the development of infective endocarditis in this population. The mitral and aortic valves are predominantly implicated in endocardial infections. The involvement of both mitral and tricuspid valves is rare in the general population but can occur in hemodialysis patients with implanted cardiac devices. Infective endocarditis is associated with high morbidity and mortality rates among hemodialysis patients, mostly because of the complications of septic emboli. Prevention, prophylaxis, and early diagnosis of endocarditis can be lifesaving in this fragile population. We report a case of right and left heart methicillin-sensitive Staphylococcus aureus endocarditis with cerebral septic emboli in an elderly hemodialysis patient carrier of an arteriovenous fistula and an ipsilateral nonleadless pacemaker.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":" ","pages":"8500299"},"PeriodicalIF":0.0,"publicationDate":"2022-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9259234/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40508276","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: 3

Crescentic Glomerulonephritis and Membranous Nephropathy: A Rare Overlap. 月牙状肾小球肾炎和膜性肾病:罕见的重叠。

Case Reports in Nephrology Pub Date : 2022-06-24 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8292458

Mohamedanwar Ghandour, Heba Osman, Samer Alkassis, Alix Charles, Kristina Zalewski, Jarrett Weinberger, Yahya Malik-Osman, Zeenat Y Bhat

{"title":"Crescentic Glomerulonephritis and Membranous Nephropathy: A Rare Overlap.","authors":"Mohamedanwar Ghandour, Heba Osman, Samer Alkassis, Alix Charles, Kristina Zalewski, Jarrett Weinberger, Yahya Malik-Osman, Zeenat Y Bhat","doi":"10.1155/2022/8292458","DOIUrl":"https://doi.org/10.1155/2022/8292458","url":null,"abstract":"Background: Membranous nephropathy (MN) is a disease that affects the basement membrane of the glomeruli of the kidney resulting in proteinuria. The concurrent incidence of vasculitic glomerulonephritis and MN in the same patient is unusual. Herein, we report a case with this unusual combination.Case: Our patient is a 53-year-old Hispanic male with a medical history of tobacco use, type 2 diabetes mellitus, and hypertension who presented with hematuria and was found to have nephrotic range proteinuria and renal impairment. Blood workup revealed positive ANCA serology, which led to a renal biopsy that showed crescentic vasculitis in addition to membranous nephropathy. The patient was started on intermittent hemodialysis (HD) and treated initially with intravenous (IV) pulse steroids; subsequently, oral prednisolone and IV cyclophosphamide were initiated. The patient remained HD dependent at the time of discharge with the resolution of hematuria. A follow-up with an outpatient nephrology clinic was arranged.Conclusion: Membranous nephropathy complicated by crescentic glomerulonephritis has a more aggressive clinical course and decline in renal function compared to MN alone which can lead to initiating renal replacement therapy. However, immunosuppressive drugs can result in significant improvement of renal function if started early enough.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":" ","pages":"8292458"},"PeriodicalIF":0.0,"publicationDate":"2022-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9249512/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40556916","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

Calciphylaxis: A Long Road to Cure with a Multidisciplinary and Multimodal Approach. 钙抑制:多学科、多模式治疗的漫漫长路。

Case Reports in Nephrology Pub Date : 2022-06-08 eCollection Date: 2022-01-01 DOI: 10.1155/2022/3818980

Vasiliki Zoi, Dimitra Bacharaki, Aggeliki Sardeli, Minas Karagiannis, Sophia Lionaki

{"title":"Calciphylaxis: A Long Road to Cure with a Multidisciplinary and Multimodal Approach.","authors":"Vasiliki Zoi, Dimitra Bacharaki, Aggeliki Sardeli, Minas Karagiannis, Sophia Lionaki","doi":"10.1155/2022/3818980","DOIUrl":"https://doi.org/10.1155/2022/3818980","url":null,"abstract":"Calciphylaxis is a rare yet potentially fatal condition, resulting from ectopic calcification of the small arterioles of the dermis with resulting necrotic lesions infection, sepsis, and death. In hemodialysis patients, its prevalence ranges between 1 and 4%, while mortality amounts to 30-80%. We present in here a 45-year-old female on chronic dialysis with morbid obesity, who was admitted for painful nodules in the lower abdomen and necrotic lesions at the lower extremities. Severe uremia and uncontrolled secondary hyperparathyroidism were the main characteristics in this patient, and thus, a clinical diagnosis of calciphylaxis was made. Treatment modalities included wound care plus antibiotics and analgesics, daily hemodialysis, and strategies targeting calcification with sodium thiosulfate, cinacalcet, and non-calcium-containing binders. A crucial factor for overcoming the infection-lesion vicious circle is thorough and daily care of the lesions. Nursing attention was focused on the motivation of her self-care, for the prevention of institutionalization and the psychological support of the patient and her family. The most intriguing feature was the fact that she experienced several exacerbations during the follow-up time. During the final relapse, she was prescribed hyperbaric oxygen sessions that actually put the disease under control thereafter. The good outcome for this patient was probably related to the combination of close follow-up along with a multidisciplinary approach.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":" ","pages":"3818980"},"PeriodicalIF":0.0,"publicationDate":"2022-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9200596/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40025742","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: 4

ANCA-Negative Vasculitis in Eosinophilic Granulomatosis with Polyangiitis Complicated with Membranous Nephropathy: A Case Report and Brief Literature Review 嗜酸性肉芽肿病合并多血管炎并发膜性肾病的anca阴性血管炎1例报告及简要文献复习

Case Reports in Nephrology Pub Date : 2022-05-06 DOI: 10.1155/2022/8110940

Eri Kasama, Jun Ino, Fumika Iemura, S. Kumon, Mio Kodama, Keitaro Sato, Hitoshi Eizumi, K. Nitta, J. Hoshino

{"title":"ANCA-Negative Vasculitis in Eosinophilic Granulomatosis with Polyangiitis Complicated with Membranous Nephropathy: A Case Report and Brief Literature Review","authors":"Eri Kasama, Jun Ino, Fumika Iemura, S. Kumon, Mio Kodama, Keitaro Sato, Hitoshi Eizumi, K. Nitta, J. Hoshino","doi":"10.1155/2022/8110940","DOIUrl":"https://doi.org/10.1155/2022/8110940","url":null,"abstract":"Renal involvement in eosinophilic granulomatosis with polyangiitis (EGPA) typically occurs in anti-neutrophil cytoplasmic autoantibody (ANCA)-positive cases presenting with rapidly progressive renal insufficiency and urinary abnormalities induced by primarily necrotizing crescentic glomerulonephritis (NCGN). Recently, ANCA-negative EGPA has also been reported to manifest with renal involvement, such as NCGN or non-NCGN, including membranous nephropathy (MN). Herein, we report a 70-year-old female who presented with purpura on the lower legs, upper limb numbness, renal dysfunction (eGFR, 20.5 ml/min/1.73 m2), and eosinophilia (eosinophils, 37,570/μl). MPO-and PR3-ANCA were negative, and urinalysis revealed urine protein (0.63 g/day) but without red blood cells in the urine sediment. Thus, she was diagnosed with ANCA-negative EGPA with rapidly progressive renal dysfunction. A renal biopsy revealed vasculitis in the interlobular arteries without NCGN, with the vasculitis being complicated by MN. Micrograph findings on fluorescence immunostaining contained both primary and secondary characteristics of MN (dominance of IgG subclass 4 more than subclass 1 vs. negativity of PLA2R and THSD7A). After treatment with prednisolone, her eosinophil counts normalized, and renal dysfunction improved. Furthermore, urine protein did not increase above 1.0 g/day during the clinical course. This is a rare case of ANCA-negative EGPA presenting with acute renal dysfunction without NCGN and subclinical MN with unknown etiology. It is important to recognize that EGPA pathology varies widely throughout the disease course, and the clinical course of subclinical MN should be carefully assessed in further follow-ups.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80301145","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}

引用次数: 1

Exacerbation of Congenital Hydronephrosis as the First Presentation of COVID-19 Infection in Children 儿童COVID-19感染的首发表现为先天性肾积水加重

Case Reports in Nephrology Pub Date : 2022-05-04 DOI: 10.1155/2022/9562671

M. Mohkam, M. Jamee, Farshid Kompani, M. Khalili, Atena Seifi, L. Mohajerzadeh

{"title":"Exacerbation of Congenital Hydronephrosis as the First Presentation of COVID-19 Infection in Children","authors":"M. Mohkam, M. Jamee, Farshid Kompani, M. Khalili, Atena Seifi, L. Mohajerzadeh","doi":"10.1155/2022/9562671","DOIUrl":"https://doi.org/10.1155/2022/9562671","url":null,"abstract":"Background Congenital hydronephrosis is one of the most common abnormalities of the upper urinary tract, which can be exacerbated by a variety of intrinsic or extrinsic triggers. The urinary tract system is one of the major organs complicated by COVID-19 infection. Case Presentations. Here, we report five patients with an established diagnosis of congenital hydronephrosis, who presented with acute abdominal pain and fever and an abrupt increase in the anteroposterior pelvic diameter (APD). Patients had a previous stable course and were under regular follow-up with serial ultrasonographic studies. They underwent surgery or supportive treatment due to the later exacerbation of hydronephrosis. Based on the clinical and imaging findings, no plausible etiologies for these exacerbation episodes, including infection, nephrolithiasis, or abdominal masses, could be postulated. The common aspect in all these patients was the evidence of a COVID-19 infection. Conclusions Infection with COVID-19 in children with antenatal hydronephrosis may exacerbate the degree of hydronephrosis and renal APD in ultrasonography, which itself may be mediated by the increase in inflammatory mediators.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85295001","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}

引用次数: 0

Beer Potomania: Why Initial Fluid Resuscitation May Be Harmful 啤酒狂躁:为什么最初的液体复苏可能有害

Case Reports in Nephrology Pub Date : 2022-04-22 DOI: 10.1155/2022/8778304

Z. Yu, Lisa Fisher

引用次数: 2

Hypercalcemia, Acute Kidney Injury, and Metabolic Alkalosis 高钙血症、急性肾损伤和代谢性碱中毒

Case Reports in Nephrology Pub Date : 2022-04-06 DOI: 10.1155/2022/1320259

Faten Aqeel, Jennifer Rose F Del Castillo, B. Jaar, Mohamad A. Hanouneh

引用次数: 0

Multiple Focal Brown Tumors (Osteitis Fibrosa Cystica) in a Renal Transplant Recipient 肾移植受者多发局灶性棕色肿瘤(囊性纤维性骨炎)

Case Reports in Nephrology Pub Date : 2022-03-07 DOI: 10.1155/2022/4675041

Thavathurai Priyanthan, A. Hermann, J. A. Bojsen, A. Krøigaard, C. Bistrup, E. B. Pedersen

{"title":"Multiple Focal Brown Tumors (Osteitis Fibrosa Cystica) in a Renal Transplant Recipient","authors":"Thavathurai Priyanthan, A. Hermann, J. A. Bojsen, A. Krøigaard, C. Bistrup, E. B. Pedersen","doi":"10.1155/2022/4675041","DOIUrl":"https://doi.org/10.1155/2022/4675041","url":null,"abstract":"Brown tumors (BTs) are manifestations of osteitis fibrosa cystica that develops due to increased osteoclast activity secondary to hyperparathyroidism (HPTH). The name comes from its characteristic brown color due to high hemosiderin level and hemorrhage surrounded by osteoclastic giant cells, fibrous tissue, and bone fragments. Presentation can be either unifocal or rarely multifocal. Misdiagnosis of BT compared to malignant giant cell tumor is not uncommon. Early diagnosis and intervention may prevent destructive bone changes. Treatment of BTs due to chronic renal failure should be aimed primarily at its prevention with phosphate binders, vitamin D (analogues), calcimimetics, and prolonged dialysis sessions. Parathyroidectomy can be the option in nonresponsive cases. In this report, we present an unusual case of multiple brown tumors in a 54-year-old female renal transplant patient involving the spine, jaw, and scapula, initially misdiagnosed as giant cell tumor. Five years later, the patient was diagnosed with BT because of the medical history, morphology, and negative p63 staining in combination with secondary/tertiary hyperparathyroidism. The patient subsequently underwent subtotal parathyroidectomy.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90035184","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}

引用次数: 1

Ineffectiveness of Intermittent Hemodialysis in a Critically Ill COVID-19 Patient: A Case of Persistent Heparin-Induced Hyperkalemia. 间歇性血液透析对 COVID-19 重症患者无效：一例持续性肝素诱发的高钾血症。

Case Reports in Nephrology Pub Date : 2022-03-04 eCollection Date: 2022-01-01 DOI: 10.1155/2022/8613656

Yannick M Nlandu, Yannick M Engole, Marie-France I Mboliassa, Théodore-Junior M Sakaji, Patrick U Kobo, Patrick M Boloko, Pally K Mafuta, Joseph P Tsangu, Karel Van Echkout, Jean-Pierre M Kanku, Golan Kalifa, Rodolphe Ahmed, Justine B Bukabau

引用次数: 0