Resch, M and Banas, B and Endemann, D and Mack, M and Riegger, GAJ and Grone, HJ and Kramer, BK (2006) Exanthema and acute anuric renal failure. CLINICAL NEPHROLOGY, 65 (5). pp. 361-363. ISSN 0301-0430,
Full text not available from this repository.Abstract
A 15-year-old girl with a history of Kawasaki disease was admitted to Our nephrological department due to acute renal failure. Despite antibiotic therapy because of fever and the symptoms of a pharyngitis in the last few days, the girl showed persisting fever and developed arthralgias, an exanthema and a rising serum creatinine as well as anuria. A wide variety of differential diagnoses has to be thought of because of the history of the Kawasaki disease (symptoms like fever, pharyingitis, exanthema and arthralgia), i.e. hemolytic-uremic syndrome, vasculitis, ascending infection, postinfection glomerulonephritis. In consideration of etiologically unclear "rapidly progressive renal failure" with anuria and thrombocytopenia an immediate renal biopsy was done and revealed a severe drug induced acute interstitial nephritis. Due to this diagnosis we treated the patient with corticosteroids. Within 4 weeks serum creatinine declined to 1.8 mg/dl but did not normalize.
| Item Type: | Article |
|---|---|
| Uncontrolled Keywords: | ACUTE INTERSTITIAL NEPHRITIS; KAWASAKI DISEASE; PATHOGENESIS; exanthema; acute anuric renal failure; drug-induced acute interstitial nephritis |
| Subjects: | 600 Technology > 610 Medical sciences Medicine |
| Divisions: | Medicine > Lehrstuhl für Innere Medizin II |
| Depositing User: | Dr. Gernot Deinzer |
| Date Deposited: | 15 Feb 2021 09:06 |
| Last Modified: | 15 Feb 2021 09:06 |
| URI: | https://pred.uni-regensburg.de/id/eprint/34563 |
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