title: Renal infarction secondary to ketamine abuse.
abstract: Renal infarction is an uncommon condition that resulted from inadequate perfusion of the kidney and is easily missed diagnosed due to its nonspecific clinical presentations. Major risk factors for renal infarction are atrial fibrillation, previous embolism, and ischemic and valvular heart disease. Progressive decrease in renal function or even death can occur if renal infarction is not diagnosed accurately and promptly. Ketamine abuse may cause variable urinary tract injury. However, renal infarction caused by ketamine abuse has never been reported. To our knowledge, this is the first documented case of renal infarction following nasal insufflation of ketamine.
authors.forename: Chin-Li
authors.initials: CL
authors.lastname: Chen
authors.affiliation: Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan, R.O.C.
authors.forename: Jin-Li
authors.initials: JL
authors.lastname: Chen
authors.forename: Tai-Lung
authors.initials: TL
authors.lastname: Cha
authors.forename: Sheng-Tang
authors.initials: ST
authors.lastname: Wu
authors.forename: Shou-Hung
authors.initials: SH
authors.lastname: Tang
authors.forename: Chih-Wei
authors.initials: CW
authors.lastname: Tsao
authors.forename: En
authors.initials: E
authors.lastname: Meng
mesh_terms: D000700:Analgesics / Q000009:adverse effects*; D005260:Female; D006801:Humans; D007238:Infarction / Q000139:chemically induced* / Q000175:diagnosis; D007649:Ketamine / Q000009:adverse effects*; D007668:Kidney / Q000098:blood supply* / Q000187:drug effects; D019966:Substance-Related Disorders / Q000150:complications*; D055815:Young Adult
chemical_list: D000700:Analgesics; D007649:Ketamine