Korean J Intern Med.  2014 Jan;29(1):111-115. 10.3904/kjim.2014.29.1.111.

Hypothermia-induced acute kidney injury in an elderly patient

• Yoon HJ
• Kim MC
• Park JW
• Yang MA
• Lee CB
• Sun IO
• Lee KY

• KMID: 1792020
• DOI: http://doi.org/10.3904/kjim.2014.29.1.111

Abstract

Hypothermia, defined as an unintentional decline in the core body temperature to below 35degrees 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.

Keyword

Hypothermia; Acute kidney injury; Rewarming; Vasoconstriction; Ischemia

MeSH Terms

Acute Kidney Injury/*etiology/therapy
Aged
Humans
Hypothermia/*complications/therapy
Male
*Rewarming