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

BACKGROUND: Patients with a prior myocardial infarction who undergo noncardiac surgery have a higher risk of perioperative morbidity and mortality. Therefore, this study was designed to assess the outcomes after non-cardiac surgery in patients who had a previous myocardial infarction. METHODS: Ninety three patients who had a prior myocardial infarction and underwent noncardiac surgery were included in this study. The patients were divided as follows: the Complication group versus the Non-Complication group. A retrospective analysis was performed to determine if age, gender, ejection fraction, prior coronary revascularization, ASA physical status, operation time and type, perioperative vital signs, cardiac risk factor, preoperative medications and coronary multivessel disease influence the perioperative morbidity and mortality. RESULTS: Fourteen of the 93 patients (15.1%) had perioperative complications, of which 3 (3.2%) were fatal. All fatal patients had undergone noncardiac surgery within 3 months after the previous coronary revascularization. The incidence of intraoperative tachycardia and oliguria, operation time and the ASA physical status were longer and greater in the Complication group (P<0.05). Otherwise there were no significant differences between the two groups. CONCLUSIONS: The incidence of intraoperative tachycardia and oliguria, the operation time and ASA physical status influence the outcomes after noncardiac surgery of patients with a prior myocardial infarction. In addition, the interval between the coronary revascularization procedure and the noncardiac surgery has a major impact on postoperative mortality. However, prospective multi-center studies will be needed to determine the effects of several variables.
Humans ; Incidence ; Mortality* ; Myocardial Infarction* ; Oliguria ; Retrospective Studies ; Risk Factors ; Tachycardia ; Vital Signs

Urinary ascites in newborns is a rare event that usually is associated with posterior urethral valves and other obstructing anomalies of the genitourinary tract. A case of neonatal urinary ascites without genitourinary tract abnormalities is reported. This premature male neonate was treated by artificial ventilation due to respiratory distress syndrome. The umbilical artery catheter was placed without difficulties and functioned well until removal. Periumbilical leak of urine was not observed. He showed abdominal distension and oliguria on second postnatal day. He was found to have ascites, hyponatremia and elevation of BUN content disproportionate to the mild elevated serum creatinine value. Radiological examination revealed normal genitourinary tract except intraperitoneal extravasation of contrast material from the bladder. Conservative management resulted in complete resolution of the lesion in this patient.
Ascites* ; Catheters ; Creatinine ; Drainage* ; Humans ; Hyponatremia ; Infant, Newborn ; Male ; Oliguria ; Umbilical Arteries ; Urinary Bladder* ; Ventilation

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*

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

The authors studied one case with rhabdomyolysis associated with acute renal failure, which followed acute CO intoxication. Oliguria, hyperkalemia developed within one day of rhabdomyolysis on left extremities. During the first three days of hospitalization, rapid increase in serum BUN, serum creatinine and serum muscle enzymes (CPK, LDH, GPT, GOT) were noted. Renal failure was controlled by artifiral kidney. Several areas of increased uptake of technetium-99m DP were noticed on bone scan. Electron microscopic examinations of biopsied muscle consist of disarrangement of myofibrils, loss or destruction of Z-line, difficulties in distinguishing A-band from I-band, and swelling of mitochondrias. These findings suggest that acute CO poising may be followed by severe muscle destruction and renal damage.
Acute Kidney Injury* ; Creatinine ; Extremities ; Hospitalization ; Hyperkalemia ; Kidney ; Mitochondria ; Myofibrils ; Oliguria ; Poisoning* ; Renal Insufficiency ; Rhabdomyolysis*

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