The 489th case: acute kidney injury, gross hematuria, nephrotic syndrome / 中华内科杂志
Chinese Journal of Internal Medicine
; (12): 589-592, 2021.
Article
in Zh
| WPRIM
| ID: wpr-885173
Responsible library:
WPRO
ABSTRACT
Onset with fever and back pain, an 81-year-old man had sudden oliguria and progressively elevated serum creatine from normal range to 660 μmol/L within 1 week after receiving contrast agents, various antibiotics, and several nonsteroidal anti-inflammation drugs. Urine output recovered after supportive treatment. However, his serum creatinine level rose again soon after a temporary decline accompanied by gross hematuria with almost normal morphology, nephrotic proteinuria, and hypoalbuminemia. Renal biopsy revealed necrotizing glomerulonephritis. Methylprednisolone was intravenously administrated 500 mg per day for 3 days, followed by oral glucocorticoids and cyclophosphamide. Gradually the patient′s serum creatinine descended to 144 μmol/L.
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Index:
WPRIM
Language:
Zh
Journal:
Chinese Journal of Internal Medicine
Year:
2021
Type:
Article