Acute renal failure complicated with myocardial infarction and anemia: a difficult and complicated case report
10.3760/cma.j.issn.0254-9026.2012.04.023
- VernacularTitle:第1例:突发急性肾衰竭-心肌梗死-贫血
- Author:
Dingwei YANG
;
Shan LIN
;
Dong LI
- Publication Type:Journal Article
- From:
Chinese Journal of Geriatrics
2012;31(4):345-346
- CountryChina
- Language:Chinese
-
Abstract:
This report presented a case of 75-year-old woman who had received drug treatments two months earlier for nephrotic syndrome and was admitted to our hospital for inferior wall myocardial infarction with elevated creatinine and anemia.Kidney pathology after myocardial infarction showed allergic acute interstitial nephritis which induced acute renal failure.We stopped tripterygium glycosides and used cortical hormone,consequently.Thereafter,the symptoms of renal failure and anemia were improved and we considered tripterygium glycosides resulted in above allergic acute interstitial nephritis and anemia.Therefore,we had to carry out renal needle biopsy in the patient with the elderly nephrotic syndrome before confirmatory treatment to avoid blind use of tripterygium glycosides.