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Hypothermia-induced acute kidney injury in an elderly patient

  • Yoon, Hyun Ju (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Kim, Mun Chul (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Park, Jae Woo (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Yang, Min A (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Lee, Cheon Beom (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Sun, In O (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Lee, Kwang Young (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center)
  • 투고 : 2012.07.30
  • 심사 : 2012.10.05
  • 발행 : 2014.01.01

초록

Hypothermia, defined as an unintentional decline in the core body temperature to below $35^{\circ}C$, is a life-threatening condition. Patients with malnutrition and diabetes mellitus as well as those of advanced age are at high risk for accidental hypothermia. Due to the high mortality rates of accidental hypothermia, proper management is critical for the wellbeing of patients. Accidental hypothermia was reported to be associated with acute kidney injury (AKI) in over 40% of cases. Although the pathogenesis remains to be elucidated, vasoconstriction and ischemia in the kidney were considered to be the main mechanisms involved. Cases of AKI associated with hypothermia have been reported worldwide, but there have been few reports of hypothermia-induced AKI in Korea. Here, we present a case of hypothermia-induced AKI that was treated successfully with rewarming and supportive care.

키워드

참고문헌

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피인용 문헌

  1. Urbanization and Altitude Are Associated with Low Kidney Function in Peru vol.20, pp.2, 2014, https://doi.org/10.1089/ham.2018.0106