Acute renal infarction and cardioembolic stroke in a patient with atrial fibrillation and hyperthyroid-induced cardiomyopathy: a case report

BACKGROUND: Acute renal infarction is a rare entity with varied misleading manifestations resulting in diagnostic delay, misdiagnosis, and treatment leading to renal damage. CASE PRESENTATION: We report the case of a 28-year-old Dalit Nepalese man who presented with sudden onset occipital headache a...

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Autores principales: Adhikari, Samaj, Paudel, Kumar, Pandit, Kamal, Thapa, Shovit, Gajurel, Bikram Prasad, Dahal, Khagendra
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859945/
https://www.ncbi.nlm.nih.gov/pubmed/27154245
http://dx.doi.org/10.1186/s13256-016-0903-x
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author Adhikari, Samaj
Paudel, Kumar
Pandit, Kamal
Thapa, Shovit
Gajurel, Bikram Prasad
Dahal, Khagendra
author_facet Adhikari, Samaj
Paudel, Kumar
Pandit, Kamal
Thapa, Shovit
Gajurel, Bikram Prasad
Dahal, Khagendra
author_sort Adhikari, Samaj
collection PubMed
description BACKGROUND: Acute renal infarction is a rare entity with varied misleading manifestations resulting in diagnostic delay, misdiagnosis, and treatment leading to renal damage. CASE PRESENTATION: We report the case of a 28-year-old Dalit Nepalese man who presented with sudden onset occipital headache and later developed severe left flank pain. He was diagnosed with posterior cerebral infarction with hemorrhagic transformation and a subsequent acute renal infarction with atrial fibrillation and hyperthyroid-induced cardiomyopathy. He was managed with oral anticoagulant and antithyroid drug. CONCLUSION: A high index of suspicion of acute renal infarction is required in patients with risk factors of thrombosis presenting sudden onset flank pain.
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spelling pubmed-48599452016-05-08 Acute renal infarction and cardioembolic stroke in a patient with atrial fibrillation and hyperthyroid-induced cardiomyopathy: a case report Adhikari, Samaj Paudel, Kumar Pandit, Kamal Thapa, Shovit Gajurel, Bikram Prasad Dahal, Khagendra J Med Case Rep Case Report BACKGROUND: Acute renal infarction is a rare entity with varied misleading manifestations resulting in diagnostic delay, misdiagnosis, and treatment leading to renal damage. CASE PRESENTATION: We report the case of a 28-year-old Dalit Nepalese man who presented with sudden onset occipital headache and later developed severe left flank pain. He was diagnosed with posterior cerebral infarction with hemorrhagic transformation and a subsequent acute renal infarction with atrial fibrillation and hyperthyroid-induced cardiomyopathy. He was managed with oral anticoagulant and antithyroid drug. CONCLUSION: A high index of suspicion of acute renal infarction is required in patients with risk factors of thrombosis presenting sudden onset flank pain. BioMed Central 2016-05-06 /pmc/articles/PMC4859945/ /pubmed/27154245 http://dx.doi.org/10.1186/s13256-016-0903-x Text en © Adhikari et al. 2016 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Case Report
Adhikari, Samaj
Paudel, Kumar
Pandit, Kamal
Thapa, Shovit
Gajurel, Bikram Prasad
Dahal, Khagendra
Acute renal infarction and cardioembolic stroke in a patient with atrial fibrillation and hyperthyroid-induced cardiomyopathy: a case report
title Acute renal infarction and cardioembolic stroke in a patient with atrial fibrillation and hyperthyroid-induced cardiomyopathy: a case report
title_full Acute renal infarction and cardioembolic stroke in a patient with atrial fibrillation and hyperthyroid-induced cardiomyopathy: a case report
title_fullStr Acute renal infarction and cardioembolic stroke in a patient with atrial fibrillation and hyperthyroid-induced cardiomyopathy: a case report
title_full_unstemmed Acute renal infarction and cardioembolic stroke in a patient with atrial fibrillation and hyperthyroid-induced cardiomyopathy: a case report
title_short Acute renal infarction and cardioembolic stroke in a patient with atrial fibrillation and hyperthyroid-induced cardiomyopathy: a case report
title_sort acute renal infarction and cardioembolic stroke in a patient with atrial fibrillation and hyperthyroid-induced cardiomyopathy: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4859945/
https://www.ncbi.nlm.nih.gov/pubmed/27154245
http://dx.doi.org/10.1186/s13256-016-0903-x
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