Acute anuric renal failure in nonfulminant hepatitis A infection.
Acute renal failure has recently been recognized as a rare complication of nonfulminant hepatitis A infection. The availability of a specific test for IgM antibody to hepatitis A should permit prompt diagnosis of the disease and a better evaluation of its association with acute renal failure. The exact mechanism for acute renal failure in hepatitis A is uncertain but glomerulonephritis, acute tubular necrosis and hepatorenal syndrome have been postulated. We report a patient with hepatitis A infection and acute renal failure most likely due to acute tubular necrosis.
Jamil
S M
SM
Department of Medicine, University of Southern California, Los Angeles, USA. kjamil@ix.netcom.com
Massry
S G
SG
D058186:Acute Kidney Injury / Q000209:etiology*; D000328:Adult; D001002:Anuria / Q000209:etiology; D006506:Hepatitis A / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007683:Kidney Tubular Necrosis, Acute / Q000209:etiology; D008297:Male