Participants in this study were patients with acute renal failure who admitted ViÖt §øc Hospital. It is found that acute nonoliguric renal failure developed in 30% of the patients. It was diagnosed by blood creatinine level as 20 mg/L or 180 micromol/L and renal failure indices RFI  2 and FeNa2. Progress and prognosis of this condition were favorable. Most of patients responded with furosemide. Only a few patients need additional hemodialysis.
Kidney Failure, Acute ; Oliguria

A 14 year old male from Quezon City Manila was admitted due to oliguria. He presented with 7 days of intermittent fever associated with malaise, photophobia with redness of the eyes. A few hours before admission, he developed repetitive vomiting with decreased urine output. He denied any muscle pain, change in his sensorium or seizure episode. He had a history of wading in flooded waters.
Oliguria ; Fever ; Photophobia

Fever ; Humans ; Oliguria ; diagnosis ; Recurrence ; Splenomegaly ; diagnosis

We report on a patient with matrix stone. The presenting symptoms were right flank pain and oliguria. The patient was in severe uremic condition secondary to the obstruction of the solitary kidney. A definite diagnosis was made by an exploration. However the surgical removal of stones resulted in only temporary improvement due to residual and recurrent stones. The literature is discussed.
Diagnosis ; Flank Pain ; Humans ; Kidney ; Oliguria

One of the most fearful rare complication of ureteroscopic lithotripsy is sepsis. Since sepsis after endourological maneuvers usually occur immediately after procedure, it is important to pay attention to symptoms representing sepsis such as pyrexia, tachycardia, tachypnea, and oliguria. In addition to clinical symptoms, laboratory tests including white blood cell (WBC) count, C-reactive protein (CRP), erythrocyte sedimentation rate (ESR), and urine and blood cultivating can help to diagnosis of sepsis. We present a case of shock after ureteroscopic lithotripsy, which was suspected with septic shock strongly.
Blood Sedimentation ; C-Reactive Protein ; Diagnosis ; Fever ; Leukocytes ; Lithotripsy* ; Oliguria ; Sepsis ; Shock* ; Shock, Septic ; Tachycardia ; Tachypnea

This is the first case of glyphosate induced severe tubulointerstitial nephritis requiring hemodialysis without cardiovascular collapse. A 67-year-old man presented to the hospital 30 minutes after ingesting 90 mL of glyphosate herbicide. On arrival, his serum creatinine was 0.8 mg/dL and other laboratory findings including liver, cardiac, and muscle enzymes were all normal. Two days after admission, although his vital signs were stable, his creatinine abruptly increased to 8.2 mg/dL and oliguria developed. As a result, we started hemodialysis treatment and two weeks after initiation of hemodialysis, his renal function started to improve slowly. After discontinuation of hemodialysis, his renal function gradually recovered and serum creatinine level decreased to 1.6 mg/dL three weeks after admission.
Aged ; Creatinine ; Glycine ; Humans ; Liver ; Muscles ; Nephritis, Interstitial ; Oliguria ; Renal Dialysis ; Vital Signs

BACKGROUND: Although ventilatory therapy after liver transplantation is essential part of postoperative intensive care, the appropriate time of extubation remains controversial. Thus we constructed an indigenous index to determine the timing of early or delayed extubation. This experiment was undertaken to decide on whether the index adequately serves as a guideline for the time of extubation. METHODS: We divided factors that affect the time of extubation into two categories-preoperative and intraoperative. Using these categories, we examined 68 patients scheduled for liver transplantation. The preoperative categories were Child-Pugh Class, preoperative creatinine level, and preoperative O2/FiO2 ratios. The intraoperative categories included the amount of packed red cell transfused and oliguria after liver reperfusion. We categorized our patients into an early extubation group and delayed extubation group, according to the existence of these factors. Then we compared the variance of duration of mechanical ventilation and duration of ICU stay of the two groups. RESULTS: The duration of mechanical ventilation in the early extubation group was significantly shorter than in the delayed extubation group (P < 0.05). However, there were no significant differences in terms of duration of ICU stay or O2 index. Child-Pugh Class, preoperative hypoxemia, and the intraoperative amount of transfusion factors showed statistical significance (P < 0.05), but preoperative renal function and oliguria after liver reperfusion showed no significant difference between the two groups. CONCLUSIONS: The process of categorizing early and delayed extubation group by examining danger factors can indeed provide an appropriate guideline for respiratory care after liver transplantation by preventing premature or excessive extubation.
Anoxia ; Creatinine ; Humans ; Critical Care ; Liver Transplantation* ; Liver* ; Oliguria ; Reperfusion ; Respiration, Artificial ; Risk Factors*

One of the rarest anomalies of the urinary tract is crossed renal ectopia. In Crossed Renal Ectopia, the kidney may be fused or unfused. The fused type is more common. The Diagnosis is made by a combination of urologic and radiologic technics including intravenous pyelography, Cytoscopic examination, retrograde pyelography and retroperitoneal air insufflation. The treatment of renal ectopia without fusion is that of the complicating disease in a kindney normally placed. This paper presented one care of crossed renal ectopia with fusion in a 5 month old female patient who admitted with high fever, oliguria and a palpable abdominal mass. The literatures were reviewed briefly.
Diagnosis ; Female ; Fever ; Humans ; Infant ; Insufflation ; Kidney ; Oliguria ; Urinary Tract ; Urography

Aerococcus viridans is a rare pathogen in humans, with only six cases of A. viridans urinary tract infections reported worldwide. Nosocomial urinary tract infections with bacteremia caused by A. viridians are even rarer, with no prior reports of urosepsis caused by A. viridans occurring in the Republic of Korea. Here we report a case of urosepsis caused by A. viridans in a 79 year-old female nursing home resident. The patient was admitted to the hospital presenting a fever of 39degrees C, chills, and oliguria for two days prior to admission. Urine culture yielded a robust growth of 105 CFU/mL of A. viridians, with blood culture positive for the same organism. Following diagnosis, the patient was treated with ciprofloxacin intravenously for 2 weeks, resulting in clearance of the infection and a full recovery from urosepsis. Although A. viridans is rarely associated with human infections, this case shows that, under the right conditions, it can be responsible for severe infections like urosepsis.
Aerococcus* ; Bacteremia ; Chills ; Ciprofloxacin ; Diagnosis ; Female ; Fever ; Humans ; Nursing Homes ; Oliguria ; Republic of Korea ; Urinary Tract Infections

BACKGROUND: An ominous sign is the oliguria frequently observed during an anesthesia. In order to elucidate the causes of oliguria during early stages of anesthesia, we observed renin, aldosterone, antidiuretic hormone (ADH), creatinine clearance (Ccr), fractional excretion of sodium (FeNa) and free water clearance (CH2O) before and 1 hour after anesthesia. METHODS: Twenty-four patients (ASA physical status I II) 20 to 60 years of age scheduled for elective surgery of low risk were anesthetized with N2O/O2/enflurane. According to the urine volume, we divided the patients into two groups (oliguria group and control group). The criteria for the oliguria group was urine volume less than 0.25 ml/kg during the first 30 minutes. Eleven patients were allocated to the oliguria group. Blood samples for sodium, creatinine, osmolality, renin, aldosterone, ADH and urine samples for sodium, creatinine and osmolality were collected before anesthesia and 1 hour after anesthesia. Ccr, FeNa and CH2O were calculated with equations. RESULTS: Before anesthesia, urine sodium (mEq/L), creatinine (mg/dl) and osmolality (mOsm/kgH2O) were significantly higher in the oliguria group than in the control group (153.4+/-15.8 vs 107.2+/-14.9, 75.5+/-10.9 vs 48.2+/-8.7, 543.7+/-27.5 vs 380.1+/-49.1, P< 0.05). Before anesthesia, ADH (pg/ml) was significantly higher in the oliguria group than in the control group (9.4+/- 3.6 vs 1.9+/-0.5, P< 0.05). One hour after anesthesia, urine sodium, creatinine and osmolality were significantly higher in the oliguria group than in the control group (170.1+/-14.6 vs 46.7+/-6.5, 71.1+/-6.9 vs 15.0+/-2.5, 557.5+/-27.5 vs 176.9+/-17.9, P< 0.05). CH2O (ml/hr) was significantly lower in the oliguria group than in the control group (-46.4+/-7.5 vs 112.5+/-23.9, P< 0.05). CONCLUSIONS: Our results suggest that the main cause of oliguria is dehydration during the early stages of anesthesia, so before anesthesia, appropriate hydration with free water is necessary to avoid oliguria.
Aldosterone ; Anesthesia* ; Creatinine ; Dehydration ; Humans ; Oliguria* ; Osmolar Concentration ; Renin ; Sodium ; Water