Case Reports in Nephrology最新文献_第8页

Rapid Glomerulotubular Nephritis as an Initial Presentation of a Lethal Diquat Ingestion. 快速肾小球-肾小管肾炎是致死性地奎特摄入的初始表现。

Case Reports in Nephrology Pub Date : 2021-09-11 eCollection Date: 2021-01-01 DOI: 10.1155/2021/4723092

Daniel Guck, Reynaldo Hernandez, Steven Moore, Andry Van de Louw, Philippe Haouzi

{"title":"Rapid Glomerulotubular Nephritis as an Initial Presentation of a Lethal Diquat Ingestion.","authors":"Daniel Guck, Reynaldo Hernandez, Steven Moore, Andry Van de Louw, Philippe Haouzi","doi":"10.1155/2021/4723092","DOIUrl":"https://doi.org/10.1155/2021/4723092","url":null,"abstract":"Introduction: Diquat is an herbicide that can lead to rapid multiorgan system failure upon toxic ingestion. Although Diquat shares a similar chemical structure with paraquat, diquat is still readily available to the general population, and in contrast to paraquat, it is not regulated. We present a case of an intentional diquat poisoning which emphasizes the necessity of the early recognition due to atypical symptoms within the first 24 hours and certainly enhanced regulatory restrictions on this very toxic compound.Case: A 60-year-old male with a history of severe depression presented to the emergency department after intentional ingestion of a commercial herbicide containing diquat dibromide 2.30%. The earliest manifestations of this acute diquat intoxication comprised a glomerulonephritis and proximal tubular dysfunction. Progressive multiorgan system failure then developed with a significant delay (24-38 hours) including acute renal, liver failure, and then respiratory failure with refractory hypoxemia. Despite maximal supportive care, the end organ failure was lethal. Discussion. Diquat intoxication should be suspected in patient presenting an acute glomerulonephritis with coma. Diquat should undergo the same regulatory restrictions as paraquat-containing compounds.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":"2021 ","pages":"4723092"},"PeriodicalIF":0.0,"publicationDate":"2021-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8452446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39440285","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: 6

The Role of Patiromer in Delaying the Onset of Renal Replacement Therapy in Patients with Advanced Renal Failure. 帕替洛尔在延缓晚期肾衰竭患者开始接受肾脏替代疗法方面的作用

Case Reports in Nephrology Pub Date : 2021-09-07 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6987456

Nand K Wadhwa, Jason A Kline, Sreedhar R Adapa

引用次数: 0

A Rare Case of Xanthogranulomatous Pyelonephritis with Spontaneous Renocolic Fistula and IVC Thrombosis. 黄色肉芽肿性肾盂肾炎合并自发性肾结肠瘘及静脉血栓1例。

Case Reports in Nephrology Pub Date : 2021-09-07 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3604017

Daniele Sforza, Leandro Siragusa, Matteo Ciancio Manuelli, Linda De Luca, Bruno Sensi, Simona Grande, Renato Argirò, Marco Nezzo, Massimo Villa, Michele Grande

{"title":"A Rare Case of Xanthogranulomatous Pyelonephritis with Spontaneous Renocolic Fistula and IVC Thrombosis.","authors":"Daniele Sforza, Leandro Siragusa, Matteo Ciancio Manuelli, Linda De Luca, Bruno Sensi, Simona Grande, Renato Argirò, Marco Nezzo, Massimo Villa, Michele Grande","doi":"10.1155/2021/3604017","DOIUrl":"https://doi.org/10.1155/2021/3604017","url":null,"abstract":"Xanthogranulomatous pyelonephritis (XGPN) is a rare disorder affecting the kidney which can fistulise to the colon in exceptional cases. We herein report a case of XGPN with renocolic fistula and large vessel thrombosis presenting with sepsis and pulmonary embolism. Preoperative diagnosis and strategic planning resulted in successful management. A 64-year-old woman presented to the emergency department with abdominal pain and a septic condition, corroborated by venous thromboembolism. Workup diagnosed a left renal abscess with calicocolic fistula. Scintigraphy confirmed a nonfunctioning left kidney. The patient underwent inferior vena cava filter placement and staged surgery. The first, damage control procedure was a loop ileostomy. Ten days later, when the patient's conditions improved, she underwent left nephrectomy and left colectomy with primary anastomosis. Finally, a year later, the ileostomy was closed. At follow-up, the patient was well, with unremarkable renal function. Scrupulous diagnostics, multidisciplinary decision making, and staged intervention have been key to optimal outcome.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":"2021 ","pages":"3604017"},"PeriodicalIF":0.0,"publicationDate":"2021-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8440069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39424104","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 Tubular Acidosis in the Postpartum Period: A Case Report and Literature Review. 产后肾小管酸中毒1例报告及文献复习。

Case Reports in Nephrology Pub Date : 2021-09-07 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6693013

Carlos E Duran, Mayra Estacio, Fredy Lozano, Esteban Echeverri, Maria Juliana Riascos, Juan Guillermo Posada, Johanna Schweineberg

引用次数: 1

COVID-19 and APOL-1 High-Risk Genotype-Associated Collapsing Glomerulonephritis. COVID-19和apol1高危基因型相关塌陷性肾小球肾炎

Case Reports in Nephrology Pub Date : 2021-08-04 eCollection Date: 2021-01-01 DOI: 10.1155/2021/3737751

Sasmit Roy, Srikanth Kunaparaju, Narayana Murty Koduri, Vikram Sangani, Mytri Pokal, Venu Madhav Konala, Mamtha Balla, Sreedhar Adapa

引用次数: 6

Acute Kidney Injury Secondary to Rhabdomyolysis and COVID-19: A Case Report and Literature Review. 横纹肌溶解和 COVID-19 引起的急性肾损伤：病例报告和文献综述

Case Reports in Nephrology Pub Date : 2021-08-02 eCollection Date: 2021-01-01 DOI: 10.1155/2021/5528461

Vishaka K Chetram, Akram I Ahmad, Saira Farid, Tanuj Sood

引用次数: 0

A 24-Year-Old Female Transplant Recipient with Type 2 Membranoproliferative Glomerulonephritis and Disseminated Shingles: A Cautionary Tale of Deferring to Primary Care. 24岁女性2型膜增生性肾小球肾炎和播散性带状疱疹移植受体:推迟初级保健的警示故事。

Case Reports in Nephrology Pub Date : 2021-07-24 eCollection Date: 2021-01-01 DOI: 10.1155/2021/6663689

Benjamin T Burdorf

{"title":"A 24-Year-Old Female Transplant Recipient with Type 2 Membranoproliferative Glomerulonephritis and Disseminated Shingles: A Cautionary Tale of Deferring to Primary Care.","authors":"Benjamin T Burdorf","doi":"10.1155/2021/6663689","DOIUrl":"https://doi.org/10.1155/2021/6663689","url":null,"abstract":"In this report, the case of a 24-year-old Caucasian female with type 2 membranoproliferative glomerulonephritis status-post living donor kidney transplant managed on triple regimen immunosuppressive therapy who developed shingles is discussed. With its onset, she promptly reached out to her nephrologist who deferred her to primary care. Prior to seeing her primary provider, she developed disseminated herpes zoster. She consulted emergency services where she was given inadequate care and again deferred to primary care. One day later, the dissemination included her entire torso, face, oral cavity, and all extremities. Fortunately, the patient had the insight to again reach out to her nephrologist who arranged for her to be admitted for appropriate care 6 days after her initial inquiry that carried 6 days of zoster progression. This case demonstrates how it is pertinent that specialists recognize potentially lethal complications associated with the conditions they follow. Although convenient to defer to primary care, if specialists were to take on the responsibility of providing a broader scope of care for their unique subsets of patients, it would likely result in a reduction in the 80% of serious medical errors that occur as a result of miscommunication, or lack thereof, between care providers.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":"2021 ","pages":"6663689"},"PeriodicalIF":0.0,"publicationDate":"2021-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8325583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39269469","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

Atypical Antiglomerular Basement Membrane Disease in a Pediatric Patient Successfully Treated with Rituximab. 非典型抗肾小球基底膜病的儿童患者成功治疗利妥昔单抗。

Case Reports in Nephrology Pub Date : 2021-07-17 eCollection Date: 2021-01-01 DOI: 10.1155/2021/2586693

Kuang-Yu Jen, Ari Auron

{"title":"Atypical Antiglomerular Basement Membrane Disease in a Pediatric Patient Successfully Treated with Rituximab.","authors":"Kuang-Yu Jen, Ari Auron","doi":"10.1155/2021/2586693","DOIUrl":"https://doi.org/10.1155/2021/2586693","url":null,"abstract":"Classic antiglomerular basement membrane (anti-GBM) disease is an exceedingly rare but extremely aggressive form of glomerulonephritis, typically caused by autoantibodies directed against cryptic, conformational epitopes within the noncollagenous domain of the type IV collagen alpha-3 subunit. Pathologic diagnosis is established by the presence of strong, diffuse, linear staining for immunoglobulin on immunofluorescence microscopy. Recently, patients with atypical clinical and pathologic findings of anti-GBM disease have been described. These patients tend to have an indolent clinical course, without pulmonary involvement, and laboratory testing rarely reveals the presence of anti-GBM antibodies. Specific guidelines for the treatment and management of these patients are unclear. Here, we describe a case of atypical anti-GBM disease in a young child who presented with hematuria and prominent proteinuria. Throughout the course of his illness, creatinine remained normal. He was conservatively treated with steroids and rituximab, resulting in resolution of his clinical symptoms and normalization of laboratory findings.","PeriodicalId":9604,"journal":{"name":"Case Reports in Nephrology","volume":"2021 ","pages":"2586693"},"PeriodicalIF":0.0,"publicationDate":"2021-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8313325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39265849","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 Complex Case of Emphysematous Cystitis in a Peritoneal Dialysis Patient. 腹膜透析患者并发复杂肺气肿性膀胱炎1例。

Case Reports in Nephrology Pub Date : 2021-07-07 eCollection Date: 2021-01-01 DOI: 10.1155/2021/8343022

Christina Okello, Rajesh Raj

引用次数: 0

Bartonella-Associated Endocarditis with Severe Active Crescentic Glomerulonephritis and Acute Renal Failure. 巴尔通体相关心内膜炎合并严重活动性月牙状肾小球肾炎和急性肾功能衰竭。

Case Reports in Nephrology Pub Date : 2021-05-29 eCollection Date: 2021-01-01 DOI: 10.1155/2021/9951264

Ramanath Dukkipati, Benjamin Lawson, Cynthia C Nast, Anuja Shah

引用次数: 3