• 제목/요약/키워드: azotemia

검색결과 69건 처리시간 0.018초

급성 신부전을 보인 아세트아미노펜에 의한 급성 간질성 신염 1례 (A Case of Acetaminophen-induced Acute Interstitial Nephritis Presenting with Acute Renal Failure)

  • 전학수;하태선
    • Childhood Kidney Diseases
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    • 제10권2호
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    • pp.228-232
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    • 2006
  • Acute interstital nephritis can occur by acetaminophen, but it is rarely presented as acute renal failure with azotemia. We report a case of acute interstitial nephritis induced by acetaminophen in a 14-year-old girl who developed non-oliguric acute renal failure. She has taken acetaminophen to control the persistent throat pain for the last two months. Renal biopsy revealed diffuse infiltration of mononuclear inflammatory cells admixed with eosinophils in the edematous interstitia. After the discontinuation of acetaminophen and the administration of corticosteroid, the serum creatinine level returned to normal.

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고양이에서 중성화 수술 후 발생한 의인성 요관질루의 영상진단 증례 (Diagnostic Imaging of Iatrogenic Ureterovaginal Fistula Secondary to Ovariohyterectomy in a Cat)

  • 정주현;장진화;윤정희;최민철
    • 한국임상수의학회지
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    • 제23권4권
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    • pp.480-483
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    • 2006
  • A spayed female, 1-year-old, Himalayan, weighing 1.89 kg, was referred. The clinical signs included anorexia, depression, vomiting, urinary incontinence and vaginal discharge for 7 days after elective ovariohysterectomy. In laboratory examination, there was moderate azotemia. Abdominal radiographic findings included heterogeneous serosal detail loss and right renomegaly. Abdominal ultrasonography showed hyperechoic ascites, bilateral polycystic kidneys, right hydronephrosis, and right hydroureter. Excretory urography demonstrated an ureterovaginal fistula. Exploratory laparotomy confirmed this diagnosis and explained that the right ureter had been included in a ligature around the cranial vagina.

수화분청음(水火分淸飮)이 Puromycin Aminonucleoside로 유발(誘發)된 백서(白鼠)의 신증(腎症)에 미치는 영향(影響) (A Study on the effects of SOOHWABUNCHUNGUM on rats with nephrosis induced by Puromycin Aminonucleoside)

  • 김정호;강석봉
    • 대한예방한의학회지
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    • 제4권1호
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    • pp.104-121
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    • 2000
  • The effects of Soohwabunchungum on rats with nephrosis induced by a single tail-intravenous injection of PAN(puromycin aminonucleoside), 2.5mg/100g of body weight was evaluated in the present study. The effects of Soohwabunchungum on PAN nephrosis was evaluated by measuring the concentrations of albumin, total protein, total lipid, cholesterol, triglyceride, creatinine, BUN(blood urea nitrogen) and uric acid in the serum the amount of protein, creatinine, glucose, occult blood and volume of the 24 hours urine and the volume of intake water, To conclude, it can be inferred that Soohwabunchungum has the effects of improving proteinuria, hypoproteinemia, hyperlipidemia in nephrotic syndrome, and relieving azotemia when nephrotic syndrome is accompanied by the acute renal failure.

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고양이에서 발생한 Perinephric pseudocysts와 선천성 Peritoneo-pericardial Kiaphragmatic Hernia in Cat

  • 김상기
    • 한국임상수의학회지
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    • 제14권1호
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    • pp.6-10
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    • 1997
  • An 8-year old castrated domestic long-hair cat was presented with a two week history of abdominal distension. Physical examination revealed a non-painful, fluctuant, palpable mass in the right craniodorsal abdomen, and unilaterally muffled heart sounds on the right thorax. Routine clinico-pathological values were unremarkable apart from mild azotemia with a concurrent urine specific gravity of 1.031, which reflect a degree of renal dysfunction. Radiographic and ultrasound examinations of the thorax revealed the cardiac enlargement to be due to the congenital peritoneo-pericardial diaphragmatic hernia with liver occupying the right half of the pericardial sac. There was also a mild gypertrophy of the heart. Radiography and ultrasonography of the abdomen showed the mass to be composed of a large fluid filled cystic structures surrounding the right and left kidneys, and the kidneys themselves were of increased echogenecity. A diagnosis of perinephric pseudocysts was made. The patient responded well to the surgical procedures. Perinephric pseudocysts and peritoneo-pericardial diaphragmatic hernia in the cat are rare, and a case is described and the literature is reviewed in this report.

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Primary renal fibrosarcoma with local invasion into the mesenteric membrane of a mongrel dog

  • Park, Hyun-Ah;Jeong, Chang-Woo;Kim, Gui-Soo;Kim, Han-Jun;Do, SunHee;Park, Hee-Myung
    • 대한수의학회지
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    • 제55권1호
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    • pp.65-69
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    • 2015
  • A 14-year-old, 7.4 kg, neutered male mongrel dog presented with vomiting, anorexia, and hematuria starting 3 days prior to admission. Serum biochemical profiles indicated severe azotemia. Computed tomography revealed loss of normal left kidney structure. The organ was 1.5 to 2 times larger than the right kidney with mixed attenuation. Histopathologic examination was performed after nephrectomy. The renal mass and mesenteric membrane were positive for vimentin and stained blue with Masson's trichrome. In conclusion, this was a rare occurrence of primary renal fibrosarcoma, most likely originated from the renal capsule, with local invasion into the mesenteric membrane.

Cycad revoluta toxicosis in a dog

  • Yoo, Jong-Hyun;Kim, Hyuk-Tae;Park, Chul;Kang, Byeong-Teck;Jung, Dong-In;Woo, Eung-Je;Park, Hee-Myung
    • 대한수의학회지
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    • 제47권2호
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    • pp.209-212
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    • 2007
  • A 3-year-old female Cocker Spaniel dog acutely developed hepatopathy following ingestion of root of Cycad (Cycas revoluta). Seven hours after the ingestion, she showed acute continuous nausea, vomiting, and marked depression and was presented to the local veterinary clinic. At physical evaluation, the dog showed moderate weakness, pale mucous membrane, jaundice, and dehydration. Serum biochemical analysis revealed elevated alanine aminotransferase and aspartate aminotransferase, and mild azotemia. The dog was treated with intravenous fluid, antibiotics, and hepatic protectants for 10 days and recovered without any sequela. Although the ingestion of Cycad in dogs is rare, it can be treated successfully with appropriate supportive therapy.

Acute kidney injury caused by administration of zaltoprofen in a cat

  • Baek, Woon-Bum;Kim, Hak-Hyun;Kang, Byeong-Teck;Kang, Ji-Houn;Yang, Mhan-Pyo
    • 대한수의학회지
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    • 제57권1호
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    • pp.55-57
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    • 2017
  • A 5-year-old, 2.7 kg, spayed female Scottish Fold cat presented with hematemesis after administration of oral zaltoprofen, a non-steroidal anti-inflammatory drug, by the owner. Diagnostic imaging and blood analyses indicated development of acute kidney injury (AKI) resulting from zaltoprofen ingestion. To correct dehydration and anemic conditions, the cat received intravenous fluid therapy with whole blood transfusion and peroral N-acetylcysteine. Clinical signs resolved, but persistent azotemia was unresolved indicating that AKI could progress to chronic kidney disease. This case suggests that although zaltoprofen may have low adverse effects on humans, administration of zaltoprofen in cats can have serious adverse effects.

외상 및 수술적 처치 후에 발생한 급성 신부전증에 관한 임상보고 (Acute Renal Failure Following Trauma and Surgery)

  • 박재길;이홍균
    • Journal of Chest Surgery
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    • 제14권4호
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    • pp.319-323
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    • 1981
  • To clarify the clinical spectrum of non-oliguric acute renal failure, we undertook a retrospective study of 16 cases of acute renal failure following trauma and surgery, 6 of whom were non-oliguric throughout their periods of azotemia. With the clinical symptoms, BUN, creatinine and some urinary diagnostic indexes, we analyzed the differences between non-oliguric and oliguric renal failure. And the results were: 1. The nonoliguric form [10 cases] was more common than oliguric [6 cases], especially post-traumatic failure. 2. The both types belonged to parenchymal renal failure by the U/P UN ratio and urinary Na concentration [Vertal, 1967]. 3. The non-oliguric form was lesser severe in urinary diagnostic indexes and clinically. The non-oliguric renal failure has better clinical course and prognosis, the failure to diagnose it is as dangerous as the failure oliguric renal failure.

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개의 만성 신부전에서 대황 추출물의 치료학적 효과의 평가 (Evaluation of Therapeutic Effect of the Extract from Rhubarb (Rheum officinalis) in Dogs with Chronic Renal Failure)

  • 김예원;현창백
    • 한국임상수의학회지
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    • 제29권6호
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    • pp.435-440
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    • 2012
  • 이번 연구는 만성신부전이 있는 개에서 대황 추출물($Rubenal^{(R)}$)의 치료적 효과와 부작용을 평가하기 위해서 실시되었다. 보호자가 있는 만성신부전 IRIS II-III 단계의 개 40마리가 이번 연구에서 사용되었다. 개들에게 동일한 모양의 대황 추출물과 위약을 투여한 후 0, 30, 90, 180일 동안 관찰, 평가하였다: BSC, 임상적 평가(식욕, 다음/다뇨, QOL), 혈액 검사(WBC, RBC, PCV), 혈청화학검사(ALT/AST, ALP, Creatinine /BUN, Total protein, albumin), 전해질검사(Na, K, Cl, Ca, iCa, P), 혈압, 요검사(UPC, 요비중) 그리고 IRIS 단계를 평가하였다. 이번 연구에서 개들에게 대황 추출물을 적용하였을 때 부작용 없이 잘 받아들이는 것을 확인하였다. 또한, 통계학적으로 임상적 평가(수의사와 보호자의 QOL)와 혈청 BUN, creatinine 수치, 혈청 인 농도, 단백뇨의 양, 그리고 만성신부전의 IRIS 점수가 루비날치료 6개월 후에 유의성 있게 개선되었다. 이러한 발견은 대황의 추출물은 만성신부적의 임상증상(i.e., azotemia, hypertension, proteinuria, hyperphosphoremia)과 삶의 질(i.e., body condition score, appetite and PD/PU)을 향상시키고, 개에서 만성신부전의 진행을 늦출 수 있다는 것을 보여준다. 그러므로 대황 추출물은 준임상적, 그리고 임상적으로 신장 질환을 치료하고 있는 개에게 좋은 보조제가 될 수 있다. 하지만 본 연구는 작은 규모의 파일럿 연구이므로 이중 맹검법의 대규모 실험을 통해 보다 정확한 실험결과의 재현이 요구된다.