A Case of Acute Kidney injury After Seawater Immersion / 대한신장학회지
Korean Journal of Nephrology
;
: 247-249, 2010.
Artigo
em Coreano
| 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.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Edema Pulmonar
/
Rabdomiólise
/
Água do Mar
/
Navios
/
Natação
/
Vasoconstrição
/
Afogamento Iminente
/
Diálise Renal
/
Temperatura Baixa
/
Creatinina
Limite:
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Korean Journal of Nephrology
Ano de publicação:
2010
Tipo de documento:
Artigo
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