Acute Kidney Injury with Severe Metabolic Alkalosis Caused by Habitual Vomiting in an Alcohol Abuser with Pyloric Stenosis.
Intern Med
; 62(7): 1031-1035, 2023 Apr 01.
Article
en En
| MEDLINE
| ID: mdl-36070937
ABSTRACT
A 47-year-old man was complaining of consciousness disorder. He had acute kidney injury, hypokalemia, and severe metabolic alkalosis. Initial treatment using intravenous infusion of 0.9% saline and potassium chloride improved his consciousness. It was clarified that he was a severe alcohol abuser who habitually self-vomited. We diagnosed him with volume depletion and pseudo-Bartter's syndrome due to loss of chloride by habitual vomiting. Gastrointestinal endoscopy demonstrated pyloric stenosis, which was ameliorated by Helicobacter pylori eradication therapy. We should consider volume depletion and pseudo-Bartter's syndrome as differential diagnoses when we encounter patients with acute kidney injury and severe metabolic alkalosis.
Palabras clave
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Estenosis Pilórica
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Síndrome de Bartter
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Alcalosis
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Lesión Renal Aguda
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Hiperaldosteronismo
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Hipopotasemia
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Intern Med
Asunto de la revista:
MEDICINA INTERNA
Año:
2023
Tipo del documento:
Article
País de afiliación:
Japón