Reversible acute kidney injury due to bilateral papillary necrosis in a patient with leptospirosis and diabetes mellitus

A 60-year-old lady with type 2 diabetes mellitus and hypertension was referred for fever, bilateral loin pain, and renal failure. Investigations showed severe acute renal failure, bilateral renal papillary necrosis (RPN), urinary tract infection (E. coli), and infection with leptospirosis: Leptospir...

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Autores principales: Subrahmanian, P. S., Abraham, G., Thirumurthi, K., Mathew, M., Reddy, Y. N.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2012
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3544066/
https://www.ncbi.nlm.nih.gov/pubmed/23326055
http://dx.doi.org/10.4103/0971-4065.103927
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author Subrahmanian, P. S.
Abraham, G.
Thirumurthi, K.
Mathew, M.
Reddy, Y. N.
Reddy, Y. N.
author_facet Subrahmanian, P. S.
Abraham, G.
Thirumurthi, K.
Mathew, M.
Reddy, Y. N.
Reddy, Y. N.
author_sort Subrahmanian, P. S.
collection PubMed
description A 60-year-old lady with type 2 diabetes mellitus and hypertension was referred for fever, bilateral loin pain, and renal failure. Investigations showed severe acute renal failure, bilateral renal papillary necrosis (RPN), urinary tract infection (E. coli), and infection with leptospirosis: Leptospira icterohemorrhagica; serovar hardjo. Renal biopsy showed tubulointerstitial nephritis with mesangial proliferation. The diagnosis was bilateral RPN in a diabetic lady with acute renal failure due to leptospirosis. The patient was successfully treated with hemodialysis, injection ceftriaxone, and benzyl penicillin.
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spelling pubmed-35440662013-01-16 Reversible acute kidney injury due to bilateral papillary necrosis in a patient with leptospirosis and diabetes mellitus Subrahmanian, P. S. Abraham, G. Thirumurthi, K. Mathew, M. Reddy, Y. N. Reddy, Y. N. Indian J Nephrol Case Report A 60-year-old lady with type 2 diabetes mellitus and hypertension was referred for fever, bilateral loin pain, and renal failure. Investigations showed severe acute renal failure, bilateral renal papillary necrosis (RPN), urinary tract infection (E. coli), and infection with leptospirosis: Leptospira icterohemorrhagica; serovar hardjo. Renal biopsy showed tubulointerstitial nephritis with mesangial proliferation. The diagnosis was bilateral RPN in a diabetic lady with acute renal failure due to leptospirosis. The patient was successfully treated with hemodialysis, injection ceftriaxone, and benzyl penicillin. Medknow Publications & Media Pvt Ltd 2012 /pmc/articles/PMC3544066/ /pubmed/23326055 http://dx.doi.org/10.4103/0971-4065.103927 Text en Copyright: © Indian Journal of Nephrology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Subrahmanian, P. S.
Abraham, G.
Thirumurthi, K.
Mathew, M.
Reddy, Y. N.
Reddy, Y. N.
Reversible acute kidney injury due to bilateral papillary necrosis in a patient with leptospirosis and diabetes mellitus
title Reversible acute kidney injury due to bilateral papillary necrosis in a patient with leptospirosis and diabetes mellitus
title_full Reversible acute kidney injury due to bilateral papillary necrosis in a patient with leptospirosis and diabetes mellitus
title_fullStr Reversible acute kidney injury due to bilateral papillary necrosis in a patient with leptospirosis and diabetes mellitus
title_full_unstemmed Reversible acute kidney injury due to bilateral papillary necrosis in a patient with leptospirosis and diabetes mellitus
title_short Reversible acute kidney injury due to bilateral papillary necrosis in a patient with leptospirosis and diabetes mellitus
title_sort reversible acute kidney injury due to bilateral papillary necrosis in a patient with leptospirosis and diabetes mellitus
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3544066/
https://www.ncbi.nlm.nih.gov/pubmed/23326055
http://dx.doi.org/10.4103/0971-4065.103927
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