RESUMO
Prevalence of covert bacteriuria in patients of nephrotic syndrome admitted for kidney biopsy was studied in 205 patients. Age ranged from 10 years to 65 years. 148 patients were male and 57 were female. Prevalence of covert bacteriuria was found in 38 patients (18.53%). In bacteriuric patients 30 were male, 8 were female. Escherichia coli was the commonest organism grown in bacteriuric patients (30 or 78.9%). Serum albumin was low and 24-hour urinary protein excretion was high in bacteriuric patients in comparison to abacteriuric patients. In bacteriuric patients membranous nephropathy was the commonest histopathological finding present in 15 patients (39.47%).
Assuntos
Adolescente , Adulto , Idoso , Bacteriúria/complicações , Criança , Infecções por Escherichia coli/complicações , Feminino , Glomerulonefrite Membranosa/patologia , Humanos , Masculino , Pessoa de Meia-Idade , Síndrome Nefrótica/complicaçõesRESUMO
Prevalence of covert bacteriuria in patients of nephrotic syndrome admitted for kidney biopsy was studied in 205 patients. Age ranged from 10 years to 65 years. 148 patients were male and 57 were female. Prevalence of covert bacteriuria was found in 38 patients (18.53%). In bacteriuric patients 30 were male, 8 were female. Escherichia coli was the commonest organism grown in bacteriuric patients (30 or 78.9%). Serum albumin was low and 24-hour urinary protein excretion was high in bacteriuric patients in comparison to abacteriuric patients. In bacteriuric patients membranous nephropathy was the commonest histopathological finding present in 15 patients (39.47%).
Assuntos
Adolescente , Adulto , Idoso , Bacteriúria/complicações , Criança , Infecções por Escherichia coli/complicações , Feminino , Glomerulonefrite Membranosa/complicações , Humanos , Masculino , Pessoa de Meia-Idade , Síndrome Nefrótica/complicações , Proteinúria/complicações , Albumina Sérica/metabolismoRESUMO
Three hundred twenty renal biopsies were done in 305 patients over a period of 5 years. Adequate tissue for pathologic diagnosis was obtained in about 79% of biopsy attempts. The overall morbidity of procedure was 6.8%. Haematuria in 11.8% cases was the commonest complication. Haematuria resolved spontaneously in 63.8% of patients within 4-12 hours. Hypotension due to blood loss occurred in 3 patients (0.98%) who required blood transfusion. Five patients (1.6%) developed perirenal haematoma. Urinary retention requiring single catheterisation was seen in 12 cases (3.9%). Perirenal abscess occurred in one case. Minor complications improving with symptomatic medication included vomiting, abdominal pain and vasovagal attack in 3.6%, 2.6% and 1.6% cases respectively.
Assuntos
Adolescente , Adulto , Idoso , Biópsia por Agulha/efeitos adversos , Criança , Feminino , Hematoma/etiologia , Hematúria/etiologia , Humanos , Nefropatias/patologia , Masculino , Fatores de RiscoRESUMO
We studied 27 patients presenting with renal dysfunction after Stibamate therapy. Eighteen patients were proved cases of Kala Azar, others of PUO. Out of 10 cases in whom Kidney biopsy was done, 6 had tubular necrosis, one had mild mesangial proliferation and 3 had normal picture.
Assuntos
Adolescente , Adulto , Gluconato de Antimônio e Sódio/efeitos adversos , Nitrogênio da Ureia Sanguínea , Creatinina/sangue , Feminino , Febre de Causa Desconhecida/tratamento farmacológico , Mesângio Glomerular/efeitos dos fármacos , Glomerulonefrite/induzido quimicamente , Humanos , Nefropatias/induzido quimicamente , Necrose Tubular Aguda/induzido quimicamente , Leishmaniose Visceral/tratamento farmacológico , Masculino , Pessoa de Meia-Idade , Proteinúria/urina , Sódio/urinaAssuntos
Adulto , Gluconato de Antimônio e Sódio/administração & dosagem , Doenças dos Nervos Cranianos/induzido quimicamente , Relação Dose-Resposta a Droga , Esquema de Medicação , Nervo Glossofaríngeo/efeitos dos fármacos , Humanos , Injeções Intramusculares , Injúria Renal Aguda/induzido quimicamente , Leishmaniose Visceral/tratamento farmacológico , Masculino , Paralisia/induzido quimicamente , Nervo Vago/efeitos dos fármacosRESUMO
Twenty five patients with end stage renal disease were studied to find out the biochemical and hepatic morphological changes during short term haemodialysis. Asymptomatic hepatomegaly was seen in 32% of cases, transaminase elevation in 28% and positive Australia antigen in 12% of cases. Histopathological changes were observed in all the 12 patients in whom liver biopsy was done. Ten patients (82%) exhibited multiple abnormalities. The commonest findings were fatty change (8 patients); hepatic congestion, focal necrosis, Kupffer cell hyperplasia (6 patients each); and portal triaditis (5 patients).