Preeclampsia, HELLP Syndrome, and Postpartum Renal Failure with Thin Basement Membrane Nephropathy: Case Report and a Brief Review of Postpartum Renal Failure
Joint Authors
Greenberg, Sheldon
Janga, K. C.
Chitamanni, Pavani
Raghavan, Shraddha
Kumar, Kamlesh
Jana, Kundan
Source
Case Reports in Obstetrics and Gynecology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-11
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
A 36-year-old primigravida female from a birthing center was referred for elevated blood pressure to the hospital two days after normal spontaneous vaginal delivery with nausea, vomiting, and diarrhea.
During this two-day period, she was experiencing persistent vaginal bleeding and lower abdominal pains for which she took six doses of 600 mg ibuprofen.
Further laboratory evaluation reflected leukocytosis, anemia, thrombocytopenia, elevation of liver enzymes, and renal failure with hyperkalemia requiring emergent hemodialysis once in the Medical Intensive Care Unit (MICU).
She was diagnosed with HELLP syndrome with underlying preeclampsia.
A week later, due to hypertension controlled with medications and nonoliguric renal failure with no active urine sediments, a renal biopsy was indicated to direct management.
The renal biopsy supported the diagnosis of diffuse severe acute tubulointerstitial nephritis with hypereosinophilia and thin basement membrane nephropathy (see figures).
She was subsequently treated with high-dose steroids which resulted in the normalization of blood pressures and renal function returning to baseline.
We report the first case of acute tubulointerstitial nephritis in an individual with thin basement membrane nephropathy secondary to postpartum complications.
American Psychological Association (APA)
Janga, K. C.& Chitamanni, Pavani& Raghavan, Shraddha& Kumar, Kamlesh& Greenberg, Sheldon& Jana, Kundan. 2020. Preeclampsia, HELLP Syndrome, and Postpartum Renal Failure with Thin Basement Membrane Nephropathy: Case Report and a Brief Review of Postpartum Renal Failure. Case Reports in Obstetrics and Gynecology،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1149092
Modern Language Association (MLA)
Janga, K. C.…[et al.]. Preeclampsia, HELLP Syndrome, and Postpartum Renal Failure with Thin Basement Membrane Nephropathy: Case Report and a Brief Review of Postpartum Renal Failure. Case Reports in Obstetrics and Gynecology No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1149092
American Medical Association (AMA)
Janga, K. C.& Chitamanni, Pavani& Raghavan, Shraddha& Kumar, Kamlesh& Greenberg, Sheldon& Jana, Kundan. Preeclampsia, HELLP Syndrome, and Postpartum Renal Failure with Thin Basement Membrane Nephropathy: Case Report and a Brief Review of Postpartum Renal Failure. Case Reports in Obstetrics and Gynecology. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1149092
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1149092