title: Hypothermia-induced acute kidney injury in a diabetic patient with nephropathy and neuropathy.
abstract: Hypothermia is a life-threatening medical condition defined as an unintentional fall in body temperature below 35 degrees C. Exposure to cold environment stimulates the thermoregulatory system to maintain the body temperature within the physiological range. Patients with malnutrition and/or diabetes mellitus are at high risk for accidental hypothermia, and acute kidney injury, which is mainly caused by pre-renal factors, occurs in relation to hypothermia. However, acute exacerbation of pre-existing chronic kidney disease has been rarely reported. Here, we present a patient with diabetes mellitus and malnutrition who developed two separate episodes of hypothermia followed by acute exacerbation of chronic kidney disease.
authors.affiliation: Department of Medicine and Clinical Science, Kyushu University, Fukuoka.
authors.forename: Shunsuke
authors.initials: S
authors.lastname: Yamada
authors.forename: Yukiko
authors.initials: Y
authors.lastname: Shimomura
authors.forename: Masato
authors.initials: M
authors.lastname: Ohsaki
authors.forename: Akiko
authors.initials: A
authors.lastname: Fujisaki
authors.forename: Kazuhiko
authors.initials: K
authors.lastname: Tsuruya
authors.forename: Mitsuo
authors.initials: M
authors.lastname: Iida
mesh_terms: D058186:Acute Kidney Injury / Q000150:complications / Q000175:diagnosis; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000150:complications / Q000175:diagnosis*; D003928:Diabetic Nephropathies / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D007035:Hypothermia / Q000150:complications / Q000175:diagnosis*; D008297:Male; D011115:Polyneuropathies / Q000150:complications / Q000175:diagnosis*; D051436:Renal Insufficiency, Chronic / Q000150:complications / Q000175:diagnosis*