title: Hypothermia-induced acute kidney injury in an elderly patient.
abstract: Hypothermia, defined as an unintentional decline in the core body temperature to below 35℃, is a life-threatening condition. Patients with malnutrition and diabetes mellitus as well as those of advanced age are at high risk for accidental hypothermia. Due to the high mortality rates of accidental hypothermia, proper management is critical for the wellbeing of patients. Accidental hypothermia was reported to be associated with acute kidney injury (AKI) in over 40% of cases. Although the pathogenesis remains to be elucidated, vasoconstriction and ischemia in the kidney were considered to be the main mechanisms involved. Cases of AKI associated with hypothermia have been reported worldwide, but there have been few reports of hypothermia-induced AKI in Korea. Here, we present a case of hypothermia-induced AKI that was treated successfully with rewarming and supportive care.
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Hyun Ju
authors.initials: HJ
authors.lastname: Yoon
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Mun Chul
authors.initials: MC
authors.lastname: Kim
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Jae Woo
authors.initials: JW
authors.lastname: Park
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Min A
authors.initials: MA
authors.lastname: Yang
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Cheon Beom
authors.initials: CB
authors.lastname: Lee
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: In O
authors.initials: IO
authors.lastname: Sun
authors.affiliation: Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center, Jeonju, Korea.
authors.forename: Kwang Young
authors.initials: KY
authors.lastname: Lee
mesh_terms: D058186:Acute Kidney Injury / Q000209:etiology* / Q000628:therapy; D000368:Aged; D006801:Humans; D007035:Hypothermia / Q000150:complications* / Q000628:therapy; D008297:Male; D017694:Rewarming
keywords: Acute kidney injury; Hypothermia; Ischemia; Rewarming; Vasoconstriction