A case report of severe acute kidney injury caused by near drowning and literature review

VernacularTitle:濒临溺水致严重急性肾损伤1例并文献复习
Author: Baoqiao WU ¹ ; Ji HE ; Wenbo SUN ; Yueming LIU ; Junda TANG ; Juan JIN ; Qiang HE
Author Information

1. 浙江中医药大学第二临床医学院，杭州　310000
Keywords: Near drowning; Acute kidney injury; Kidney tubular necrosis, acute
From: Chinese Journal of Nephrology 2024;40(5):392-395
CountryChina
Language:Chinese
Abstract: This article reports a case of acute kidney injury (AKI) following near drowning with reduced urine output as the main manifestation. The patient was a 37-year-old middle-aged man. His renal function deteriorated sharply after accidentally falling into the water, and renal pathology showed acute tubular injury. After hemodialysis treatment, urine output increased significantly, and renal function and proteinuria improved significantly. AKI following near drowning lacks typical clinical manifestations and is prone to delayed diagnosis and treatment. The patients with a history of near drowning should be followed up to determine whether they are complicated by AKI.