A Case of Acute Kidney injury After Seawater Immersion / 대한신장학회지
Korean Journal of Nephrology
;
: 247-249, 2010.
Article
in Korean
| WPRIM
| ID: wpr-87925
ABSTRACT
Acute renal failure (ARF) secondary to immersion and near-drowning has rarely been described and it is poorly understood. ARF associated with immersion and near-drowning might be involved with systemic tissue hypoxia, hypovolemia and hypothermia. Some reports have shown that rhabdomyolysis could be involved. We report here on a 52 year old seaman who developed ARF after cold sea-water immersion. He had been swimming for one hour in cold sea-water because his ship became stuck on a rock. After 2 days, his serum creatinine level was increased to 7.8 mg/dL, and pulmonary edema was developed. The serum myoglobin level was 495.1 ng/mL. He was diagnosed as oliguric ARF and treated with hemodialysis. Thereafter, renal function was gradually recovered. We presumed that hypothermia-induced vasoconstriction, hypovolemia and rhabdomyolysis were involved in ARF in the patient. It should be considered that cold sea-water immersion for a long time could evoke ARF in healthy men.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Pulmonary Edema
/
Rhabdomyolysis
/
Seawater
/
Ships
/
Swimming
/
Vasoconstriction
/
Near Drowning
/
Renal Dialysis
/
Cold Temperature
/
Creatinine
Limits:
Humans
/
Male
Language:
Korean
Journal:
Korean Journal of Nephrology
Year:
2010
Type:
Article
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