title: Left kidney: an unusual site of cocaine-related renal infarction. A case report.
abstract: Acute renal infarction is a well known, although relatively unfrequent, cause of flank pain resistant to administration of spasmolytic and nonsteroidal anti-inflammatory drugs. We present an original case of a 41-year-old man, complaining of acute severe left flank pain, resistant to common analgesic therapy, who was diagnosed of segmental renal infarction of a branch of left renal artery. Pathophysiology of renal damage in cocaine users is multifactorial, and it has been postulated that the right kidney was more prone to ischaemia. Left kidney represents an extremely unusual site of cocaine-related renal infarction.
authors.affiliation: Institute of Clinical Medicine, School of Medicine, University of Ferrara, Ferrara, Italy.
authors.forename: F
authors.initials: F
authors.lastname: Fabbian
authors.forename: M
authors.initials: M
authors.lastname: Pala
authors.forename: A
authors.initials: A
authors.lastname: De Giorgi
authors.forename: R
authors.initials: R
authors.lastname: Tiseo
authors.forename: C
authors.initials: C
authors.lastname: Molino
authors.forename: A
authors.initials: A
authors.lastname: Mallozzi Menegatti
authors.forename: F
authors.initials: F
authors.lastname: Travasoni
authors.forename: E
authors.initials: E
authors.lastname: Misurati
authors.forename: F
authors.initials: F
authors.lastname: Portaluppi
authors.forename: R
authors.initials: R
authors.lastname: Manfredini
mesh_terms: D000328:Adult; D003042:Cocaine / Q000506:poisoning*; D019970:Cocaine-Related Disorders / Q000150:complications*; D021501:Flank Pain / Q000150:complications; D006801:Humans; D007238:Infarction / Q000139:chemically induced* / Q000473:pathology; D007674:Kidney Diseases / Q000139:chemically induced* / Q000473:pathology; D008297:Male; D010146:Pain / Q000188:drug therapy / Q000209:etiology; D012077:Renal Artery / Q000473:pathology; D012079:Renal Circulation / Q000187:drug effects / Q000502:physiology; D014057:Tomography, X-Ray Computed
chemical_list: D003042:Cocaine