Acute renal failure in non-fulminant acute hepatitis 
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 Acute renal failure in non-fulminant acute hepatitis

Subject: INFO: Acute renal failure in non-fulminant acute hepatitis without
hepatitis A,

Nippon Jinzo Gakkai Shi 1998 Jan;40(1):17-21

[Acute renal failure in non-fulminant acute hepatitis without hepatitis A, B
or C virus infection].
[Article in Japanese]

Kaneda K, Ishida S, Kondou S, Seike M, Saikawa T, Takebayashi S
1st Department of Internal Medicine, Oita Medical University, Japan.

Here, we report a 35-year-old man with non-fulminant acute non A, non B, non C
hepatitis which developed into acute renal failure. The patient was admitted
to hospital with the chief complaints of general fatigue, nausea and a high-
grade fever of 40 degrees C. Laboratory examination revealed severe liver
dysfunction and renal insufficiency on admission: his serum glutamic
oxaloacetic transaminase was 3.203 IU/ml, serum glutamic pyruvic transaminase
was 3.825 IU/ml, lactic dehydrogenase was 2.840 IU/ml, {*filter*} urea nitrogen was
65 mg/dl, and creatinine was 7.6 mg/dl. Hemodialysis was conducted during the
initial 19-day period after admission because anuria was manifested on
admission. On the 36th day after onset, renal functions returned to normal and
the patient was negative for IgM-HA antibody. HBs antigen, IgM-HBC antibody,
HCV antibody, cytomegalovirus antibody, and Epstein-Barr virus antibody.
However, liver biopsy for histological examination on the 44th day after onset
revealed no specific findings except the healing stage of acute hepatitis.
Renal biopsy on the 49th day showed the healing stage of acute tubular
necrosis without any glomerular change. It has been infrequently reported that
acute renal failure develops following a non-fulminant acute state without
hepatitis A, B or C virus infection. It is necessary to take acute renal
failure into account in the clinical course of non-fulminant non A, non B, non
C hepatitis.

PMID: 9513378, UI: 98174564

As always do not substitute what you read in a post w/competent professional
medical advice which encompasses your unique medical condition



Tue, 10 Jul 2001 03:00:00 GMT
 
 [ 1 post ] 

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