A Case of Severe Acute Kidney Injury by Near-Drowning.
10.3346/jkms.2012.27.2.218
- Author:
Eun Young SEONG
1
;
Harin RHEE
;
Naria LEE
;
Sung Jun LEE
;
Sang Heon SONG
;
Dong Won LEE
;
Soo Bong LEE
;
Mee Young SOL
;
Ihm Soo KWAK
Author Information
1. Department of Internal Medicine, Medical Research Institute, Pusan National University College of Medicine, Busan, Korea. sey02200@paran.com
- Publication Type:Case Reports
- Keywords:
Acute Kidney Injury;
Acute Tubular Necrosis;
Hemodialysis;
Near Drowning
- MeSH:
Acute Kidney Injury/*diagnosis/*etiology;
Anuria/etiology;
Creatinine/blood;
Humans;
Kidney Tubular Necrosis, Acute/etiology/pathology;
Male;
Near Drowning/*complications;
Renal Dialysis;
Young Adult
- From:Journal of Korean Medical Science
2012;27(2):218-220
- CountryRepublic of Korea
- Language:English
-
Abstract:
Acute kidney injury (AKI) secondary to near-drowning is rarely described and poorly understood. Only few cases of severe isolated AKI resulting from near-drowning exist in the literature. We report a case of near-drowning who developed to isolated AKI due to acute tubular necrosis (ATN) requiring dialysis. A 21-yr-old man who recovered from near-drowning in freshwater 3 days earlier was admitted to our hospital with anuria and elevated level of serum creatinine. He needed five sessions of hemodialysis and then renal function recovered spontaneously. Renal biopsy confirmed ATN. We review the existing literature on near-drowning-induced AKI and discuss the possible pathogenesis.
