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KMID : 0191120120270020218
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Journal of Korean Medical Science
2012 Volume.27 No. 2 p.218 ~ p.220
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A Case of Severe Acute Kidney Injury by Near-Drowning
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Seong Eun-Young
Rhee Ha-Rin
Lee Naria
Lee Sung-Jun
Song Sang-Heon
Lee Dong-Won
Lee Soo-Bong
Sol Mee-Young
Kwak Ihm-Soo
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Abstract
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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.
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KEYWORD
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Acute Kidney Injury, Acute Tubular Necrosis, Hemodialysis, Near Drowning
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