Hypothermia-induced acute kidney injury in an elderly patient.
10.3904/kjim.2014.29.1.111
- Author:
Hyun Ju YOON
1
;
Mun Chul KIM
;
Jae Woo PARK
;
Min A YANG
;
Cheon Beom LEE
;
In O SUN
;
Kwang Young LEE
Author Information
1. Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea. josephep@paran.com
- Publication Type:Case Reports
- Keywords:
Hypothermia;
Acute kidney injury;
Rewarming;
Vasoconstriction;
Ischemia
- MeSH:
Acute Kidney Injury/*etiology/therapy;
Aged;
Humans;
Hypothermia/*complications/therapy;
Male;
*Rewarming
- From:The Korean Journal of Internal Medicine
2014;29(1):111-115
- CountryRepublic of Korea
- Language:English
-
Abstract:
Hypothermia, defined as an unintentional decline in the core body temperature to below 35degrees C, is a life-threatening condition. Patients with malnutrition and diabetes mellitus as well as those of advanced age are at high risk for accidental hypothermia. Due to the high mortality rates of accidental hypothermia, proper management is critical for the wellbeing of patients. Accidental hypothermia was reported to be associated with acute kidney injury (AKI) in over 40% of cases. Although the pathogenesis remains to be elucidated, vasoconstriction and ischemia in the kidney were considered to be the main mechanisms involved. Cases of AKI associated with hypothermia have been reported worldwide, but there have been few reports of hypothermia-induced AKI in Korea. Here, we present a case of hypothermia-induced AKI that was treated successfully with rewarming and supportive care.
