Its clinical manifestations mainly include oliguria or anuria
, azotemia, hyperkalemia and metabolic acidosis, seriously endangering human life in case of ineffective rescue.2 Owing to the lack of effective therapies, over 50% of AKI patients cannot recover,3 and progress to chronic kidney disease instead.
A patient can have a normal serum creatinine level without effective renal function very shortly after the onset of acute renal failure with anuria
. In this clinical setting, serum creatinine is an insensitive measure of decreased renal function because its level does not rise above normal until GFR falls by 30-40% The precise measurement of the GFR is accomplished by quantitating the clearance of a substance that is freely filtered across the capillary wall and is neither reabsorbed nor secreted by the tubules.
The boy from Wuhan in central China first displayed symptoms of anuria
, or the absence of urine.
We present a case that developed bilateral ureteral obstruction and anuria
due to bilateral inflammatory iliac artery aneurysm in this case report.
Over the next few hours, she developed pulmonary and intraabdominal bleeding, and a persistent arterial hypotension and anuria
. The patient died seven hours after urokinase administration.
Out of the four patients having arterial thrombosis, three patients had anuria
in the immediate post-operative period.
A 20-year-old previously asymptomatic girl presented in the emergency department with complaints of high-grade fever with chills and rigors for 1 week and anuria
for 1 day.
Without any exposure to live poultry, a 17-year-old boy became sick with the onset of anuria
, increased creatinine level, fever, and chills after a lithotripsy on May 25, 2017, at a hospital of Hebei Province in China.
Evolution torpid, hemodynamic instability, acute respiratory failure, anuria
, and progressive deterioration multisystemic, required hidroelectrolitic treatment, vasoactive amines, orotracheal intubation and ventilatory support mechanical, maneuvers of alveolar recruitment for protection pulmonary, and antimicrobials triple coverage, without reply in the first 5 days of treatment to support multiple organ failure, blood and urine cultures of income, is interrogated to family, has been reported as a worker on a farm in the care of animals (pigs, dogs, sheep, chickens, horses), lived in a cellar where they stored grains and canned beverages, which were ingested without cleaning them.
Patients at risk for this will often have the following during the acute phase of the disease: white blood cell count >20,000 per [mm.sup.3]; initial oliguria (> 10 days) or anuria
(>5 days); renal histology with glomerular microangiopathy affecting >50% of glomeruli, arterial microangiopathy, and/or cortical necrosis.
We defined severe NE as the occurrence of [greater than or equal to] 1 of the following criteria during hospitalization: hypovolemic, hemorrhagic, or septic shock; plasma creatinine level >353.6 [micro]mol/L (9,16,19); anuria
(urine output <300 mL/d); need for dialysis; hemorrhage requiring blood transfusion; admission to the intensive care unit; or death.
With ureteral obstruction, flank or abdominal pain or anuria
can be noted; while, with fistula formation, the patient will likely present with urinary incontinence or watery vaginal discharge.