A Case of Severe Acute Kidney Injury Induced by Near-Drowning
Journal Title: Scholars Journal of Medical Case Reports - Year 2018, Vol 6, Issue 9
Abstract
A 23-year-old man began drowning when he suffered a leg spasm while snorkeling in the ocean. After being rescued, he showed consciousness disturbance and a pale face. On arrival, chest roentgen showed decreased radiolucency in the bilateral lung fields. The level of uric acid was 18.4 mg/dl. He received tracheal intubation for mechanical ventilation with positive end-expiratory pressure. After admission to the intensive-care unit, his respiratory function improved, and he was extubated on the second hospital day. However, he became complicated with oligouria and showed a daily increase in his creatinine level. He also became complicated with lung edema due to acute renal failure, so intermittent hemodialysis therapy was started on the fourth hospital day. After six hemodialysis sessions, he spontaneously obtained sufficient urine flow, and the levels of both creatinine and blood urea nitrogen decreased without hemodialysis. He was ultimately discharged on foot. Acute renal failure after nearly drowning to death is not very rare, so physicians should pay close attention to this complication in near-drowning patients. Hyperuricemia may contribute to the occurrence of acute renal failure after nearly drowning.
Authors and Affiliations
Hiroka Matsuda MD, Ikuto Takeuchi MD, Hiroki Nagasawa MD, Taishi Dotare MD, Shunsuke Madokoro MD
Keywords
Related Articles
- EP ID EP489459
- DOI -
- Views 68
- Downloads 0
Unintentional Injury by Imprudence with a Butcher Hook in a Child
Injury by imprudence with a butcher hook is not very common. It is a breach of human right to integrity. Though it is not deliberate, it may involve lawsuit. We report the case of a primary school girl of 6 years old who...
A Case Report of a Very Rare Case of Bilateral Spigelian Hernia
Abstract:Spigelian hernias are rare accounting for 1-2% of all abdominal hernias, so bilateral spigelian hernia constitutes less than 1-2% of all abdominal hernias. Spigelian hernias are generally difficult to diagnose...
Management of Miller class III gingival recession by Subepithelial connective tissue graft (SCTG) with coronally advanced flap (CAF): A 6-month follow up case report
Mucogingival surgery involving gingival reconstruction has become an integral part of current periodontal practice. Gingival recession, either localized or generalized, may beassociated with one or more surfaces, resulti...
Anomalous Origin of Cystic Artery and its Surgical Implications
Cystic artery is usually a branch of right hepatic artery given in the Calot’s triangle. Variations in the origin of cystic artery have been reported but there is paucity of literature regarding these in Indian subjects....
Extensor Medii Proprius Muscle: A Case Report
Tendons of extensor muscles are the major constituents in the dorsum of the human hand. Additional muscle in the dorsum of hand is a topic of interest for anatomists, radiologists and clinicians. This additional muscle c...