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Unusual presentation of renal vein thrombosis with pulmonary artery embolism
Joint Authors
Mazin, Khalid
al-Said, Jafar
Catacutan, Maria Teresa
Nayak Rao, Shobhana
Kamil, Ulfat
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 24, Issue 3 (30 Jun. 2013), pp.566-570, 5 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2013-06-30
Country of Publication
Saudi Arabia
No. of Pages
5
Main Subjects
Topics
- Blood-vessels
- Veins
- Kidneys
- Diseases
- Complications(Medicine)
- Nephrotic syndrome
- Biopsy
- Coagulation
- Pulmonary embolism
Abstract EN
A young 23-year-old male patient presented with a two-day history of right flank pain.
He had no history of any significant illnesses in the past.
His investgations showed nephrotic range proteinuria with hypoalbuminemia.
The patient developed cough and shortness of breath after having a left kidney biopsy.
He did not respond to regular respiratory tract infection treatment.
The kidney biopsy revealed membranoproliferative glomerulonephritis.
Further investigations for the cough showed thromboembolism of the posterior and lateral basal segments of the right lower lobe.
Moreover he was found to have thrombosis of the right upper pole renal vein.
The patient was started on full anticoagulation along with three days pulse steroid, followed by 1 mg / kg oral steroid.
Clinical improvement was noticed within 48 h.
After eight weeks the proteinuria decreased from 8.5 gm / day to 1.1 gm / day.
The kidney function was normal with eGFR 145 mL / min through the course of the disease.
This case represents one of the unusual presentations of nephrotic syndrome with pulmonary and renal vascular thromboembolic events.
The response to the combination of anticoagulation and steroid was remarkable.
American Psychological Association (APA)
Mazin, Khalid& al-Said, Jafar& Nayak Rao, Shobhana& Catacutan, Maria Teresa& Kamil, Ulfat. 2013. Unusual presentation of renal vein thrombosis with pulmonary artery embolism. Saudi Journal of Kidney Diseases and Transplantation،Vol. 24, no. 3, pp.566-570.
https://search.emarefa.net/detail/BIM-328603
Modern Language Association (MLA)
Mazin, Khalid…[et al.]. Unusual presentation of renal vein thrombosis with pulmonary artery embolism. Saudi Journal of Kidney Diseases and Transplantation Vol. 24, no. 3 (Jun. 2013), pp.566-570.
https://search.emarefa.net/detail/BIM-328603
American Medical Association (AMA)
Mazin, Khalid& al-Said, Jafar& Nayak Rao, Shobhana& Catacutan, Maria Teresa& Kamil, Ulfat. Unusual presentation of renal vein thrombosis with pulmonary artery embolism. Saudi Journal of Kidney Diseases and Transplantation. 2013. Vol. 24, no. 3, pp.566-570.
https://search.emarefa.net/detail/BIM-328603
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 570
Record ID
BIM-328603