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Bile cast nephropathy causing acute kidney injury in a patient with nonfulminant acute hepatitis A
Joint Authors
Lakshmi, K.
Murlidharan, Praveen
Balan, Satish
Ravi, Ranjani
Suthar, Kedar
Safir, Muhammad
Source
Saudi Journal of Kidney Diseases and Transplantation
Issue
Vol. 29, Issue 6 (31 Dec. 2018), pp.1498-1501, 4 p.
Publisher
Saudi Center for Organ Transplantation
Publication Date
2018-12-31
Country of Publication
Saudi Arabia
No. of Pages
4
Main Subjects
Abstract EN
Hepatitis A is usually a benign self-limiting disease with few or no extrahepatic manifestations.
Acute hepatitis A causing severe renal dysfunction is not very common, although described.
Patients developing renal dysfunction post hepatitis A infection usually have prerenal acute kidney injury (AKI) or acute tubular necrosis due to vomiting, diarrhea, and poor fluid replacement.
However, if renal dysfunction persists, other causes need to be evaluated.
The term cholemic nephrosis or more specifically bile cast nephropathy has been described in the setting of cholestatic jaundice and decompensated liver failure where bilirubin levels reach above 20 mg/dL.
Herein, we describe the clinical course of a patient who developed acute hepatitis A with severe liver dysfunction and subsequently AKI which persisted for six weeks.
Renal biopsy showed the evidence of bile cast nephropathy.
After six weeks of hemodialysis, urine output improved.
He slowly recovered both hepatic and renal functions.
American Psychological Association (APA)
Ravi, Ranjani& Suthar, Kedar& Murlidharan, Praveen& Lakshmi, K.& Balan, Satish& Safir, Muhammad. 2018. Bile cast nephropathy causing acute kidney injury in a patient with nonfulminant acute hepatitis A. Saudi Journal of Kidney Diseases and Transplantation،Vol. 29, no. 6, pp.1498-1501.
https://search.emarefa.net/detail/BIM-896514
Modern Language Association (MLA)
Safir, Muhammad…[et al.]. Bile cast nephropathy causing acute kidney injury in a patient with nonfulminant acute hepatitis A. Saudi Journal of Kidney Diseases and Transplantation Vol. 29, no. 6 (Nov. / Dec. 2018), pp.1498-1501.
https://search.emarefa.net/detail/BIM-896514
American Medical Association (AMA)
Ravi, Ranjani& Suthar, Kedar& Murlidharan, Praveen& Lakshmi, K.& Balan, Satish& Safir, Muhammad. Bile cast nephropathy causing acute kidney injury in a patient with nonfulminant acute hepatitis A. Saudi Journal of Kidney Diseases and Transplantation. 2018. Vol. 29, no. 6, pp.1498-1501.
https://search.emarefa.net/detail/BIM-896514
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 1500-1501
Record ID
BIM-896514