A case of severe acute kidney injury by near-drowning.
Acute kidney injury (AKI) secondary to near-drowning is rarely described and poorly understood. Only few cases of severe isolated AKI resulting from near-drowning exist in the literature. We report a case of near-drowning who developed to isolated AKI due to acute tubular necrosis (ATN) requiring dialysis. A 21-yr-old man who recovered from near-drowning in freshwater 3 days earlier was admitted to our hospital with anuria and elevated level of serum creatinine. He needed five sessions of hemodialysis and then renal function recovered spontaneously. Renal biopsy confirmed ATN. We review the existing literature on near-drowning-induced AKI and discuss the possible pathogenesis.
Department of Internal Medicine, Medical Research Institute, Pusan National University College of Medicine, Busan, Korea. sey02200@paran.com
Eun Young
EY
Seong
Harin
H
Rhee
Naria
N
Lee
Sung Jun
SJ
Lee
Sang Heon
SH
Song
Dong Won
DW
Lee
Soo Bong
SB
Lee
Mee Young
MY
Sol
Ihm Soo
IS
Kwak
D058186:Acute Kidney Injury / Q000175:diagnosis* / Q000209:etiology*; D001002:Anuria / Q000209:etiology; D003404:Creatinine / Q000097:blood; D006801:Humans; D007683:Kidney Tubular Necrosis, Acute / Q000209:etiology / Q000473:pathology; D008297:Male; D015701:Near Drowning / Q000150:complications*; D006435:Renal Dialysis; D055815:Young Adult
D003404:Creatinine