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The 489th case: acute kidney injury, gross hematuria, nephrotic syndrome / 中华内科杂志
Article en Zh | WPRIM | ID: wpr-885173
Biblioteca responsable: 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.
Texto completo: 1 Base de datos: WPRIM Idioma: Zh Revista: Chinese Journal of Internal Medicine Año: 2021 Tipo del documento: Article
Texto completo: 1 Base de datos: WPRIM Idioma: Zh Revista: Chinese Journal of Internal Medicine Año: 2021 Tipo del documento: Article