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

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

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

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

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

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: 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

PURPOSE: Conventional indomethacin therapy(0.2mg/kg every 12 hours for three doses) has been used for closure of PDA. The effect of prolonged low dose of indomethacin therapy(0.1mg/kg daily for six days)had been reported in foreign country but, nothing had been reported in our country. So we attempted this study to examine effects of these two methods. METHODS: Forty one infants with PDA of prematurity from January 1992 to July 1995 who were admitted in NICU of Il Sin Christian Hospital were included. 27 of these infants received conventional dose of indomethacin therapy and 14 received prolonged low dose of indomethacin therapy, and we examined with closure rate and complication etc. RESULTS: 1) Closure of PDA was observed in 15(55.6%) and relapse was 3(11.1%) in conventional dose therapy group. In prolonged low dose therapy group, closure was 8(57.1%) and relapse was none. 2) Intraventricular hemorrhage was observed in 20(74.1%), 6(42.9%) and gastrointestinal tract bleeding was 6(22.2%), 13(92.2%) in each group. There was statistically significant between the two groups(p<0.05). 3) The rise of serum BUN, creatinine was observed in 9(33.3%), 6(46.2%), bleeding tendency was 9(33.3%), 8(57.1%), necrotizing enterocolitis was 2(7.4%), 0 and retinopathy of prematurity was 8(29.6%), 3(21.4%) in each group.But there was not statistically significant correlation between the two groups. 4) The development of sepsis and broncopulmonary dysplasia was slightly more in prolonged low dose therapy group. 5) The reduction of urine output was observed in 11(40.7%), 2(14.3%) in each group but, absolute oliguria was not observed in both groups. CONCLUSIONS: Though the closure rate of PDA was similar in both groups, prolonged low dose indomethacin therapy can be recommanded with its effectiveness on preventing the relapse of PDA and the accurrence of necrotizing enterocolitis.
Creatinine ; Enterocolitis, Necrotizing ; Gastrointestinal Tract ; Hemorrhage ; Humans ; Indomethacin* ; Infant ; Oliguria ; Recurrence ; Retinopathy of Prematurity ; Sepsis