J Korean Med Sci.  2012 Feb;27(2):218-220. 10.3346/jkms.2012.27.2.218.

A Case of Severe Acute Kidney Injury by Near-Drowning

• Seong EY
• Rhee H
• Lee N
• Lee SJ
• Song SH
• Lee DW
• Lee SB
• Sol MY
• Kwak IS

• KMID: 1120163
• DOI: http://doi.org/10.3346/jkms.2012.27.2.218

Abstract

Acute kidney injury (AKI) secondary to near-drowning is rarely described and poorly understood. Only few cases of severe isolated AKI resulting from near-drowning exist in the literature. We report a case of near-drowning who developed to isolated AKI due to acute tubular necrosis (ATN) requiring dialysis. A 21-yr-old man who recovered from near-drowning in freshwater 3 days earlier was admitted to our hospital with anuria and elevated level of serum creatinine. He needed five sessions of hemodialysis and then renal function recovered spontaneously. Renal biopsy confirmed ATN. We review the existing literature on near-drowning-induced AKI and discuss the possible pathogenesis.

Keyword

Acute Kidney Injury; Acute Tubular Necrosis; Hemodialysis; Near Drowning

MeSH Terms

Acute Kidney Injury/*diagnosis/*etiology
Anuria/etiology
Creatinine/blood
Humans
Kidney Tubular Necrosis, Acute/etiology/pathology
Male
Near Drowning/*complications
Renal Dialysis
Young Adult

Figure

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  Fig. 1 Renal biopsy specimen from the patient with serum creatinine of 1.98 mg/dL. A proximal tubule with denuded epithelium, exfoliating brush borders (black arrows) and mitotic figure (white arrow) is shown (× 400).

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