A Case of Severe Acute Kidney Injury by Near-Drowning

作者：Seong Eun Young^*; Rhee Harin; Lee Naria; Lee Sung Jun; Song Sang Heon; Lee Dong Won; Lee Soo Bong; Sol Mee Young; Kwak Ihm Soo

来源：Journal of Korean Medical Science, 2012, 27(2): 218-220.

DOI：10.3346/jkms.2012.27.2.218

• Acute Kidney Injury
• Acute Tubular Necrosis
• Hemodialysis
• Near Drowning

Acute kidney injury (AKI) secondary to near-drowning is rarely described and poorly understood. Only few cases of severe isolated AKI resulting from near-drowning exist in the literature. We report a case of near-drowning who developed to isolated AKI due to acute tubular necrosis (ATN) requiring dialysis. A 21-yr-old man who recovered from near-drowning in freshwater 3 days earlier was admitted to our hospital with anuria and elevated level of serum creatinine. He needed five sessions of hemodialysis and then renal function recovered spontaneously. Renal biopsy confirmed ATN. We review the existing literature on near-drowning-induced AKI and discuss the possible pathogenesis.

• 出版日期2012-2