Delayed onset of diuresis in a patient with acute renal failure due to hemorrhagic fever with renal syndrome who also developed anterior hypopituitarism.
Clin Nephrol
; 46(2): 141-5, 1996 Aug.
Article
in En
| MEDLINE
| ID: mdl-8869793
ABSTRACT
A 23-year-old man developed acute renal failure (ARF) due to hemorrhagic fever with renal syndrome (HFRS). The patient also developed anterior hypopituitarism as a complication of HFRS. The patient's oliguric phase was very much prolonged for over 10 days before the diuresis began. The urine output during the oliguric phase was near anuric (< 50 ml/day). Interestingly, the patient began to diurese just after the institution of glucocorticoid and thyroid hormone replacement therapy. The plasma atrial natriuretic polypeptide went up to a smaller peak (150.0 pg/ml) at the onset of diuresis compared with 15 other patients (292.4 +/- 190.4 pg/ml) who did not develop anterior hypopituitarism. The delayed onset of diuresis and smaller increase of plasma ANP may have a causal relationship with the patient's hypopituitarism.
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Database:
MEDLINE
Main subject:
Pituitary Gland, Anterior
/
Diuresis
/
Acute Kidney Injury
/
Hemorrhagic Fever with Renal Syndrome
/
Hypopituitarism
Limits:
Adult
/
Humans
/
Male
Language:
En
Year:
1996
Type:
Article