A case of recurrent renal failure associated with metabolic alkalosis induced by protracted vomiting
We describe a case of recurrent deterioration of renal function in a 54-year-old man who was found to have metabolic alkalosis, with a maximum PaCO(2) of 73.9 mmHg and a bicarbonate concentration of 55.3 mmol/l. He had a gradual exacerbation of nausea and vomiting due to atrophic gastritis, with a s...
Gespeichert in:
| Veröffentlicht in: | Clinical and experimental nephrology 2006-12, Vol.10 (4), p.279-283 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 283 |
|---|---|
| container_issue | 4 |
| container_start_page | 279 |
| container_title | Clinical and experimental nephrology |
| container_volume | 10 |
| creator | Akimoto, Tetsu Saito, Osamu Kotoda, Atsushi Nishino, Katsuhiko Umino, Tetsuo Muto, Shigeaki Kusano, Eiji |
| description | We describe a case of recurrent deterioration of renal function in a 54-year-old man who was found to have metabolic alkalosis, with a maximum PaCO(2) of 73.9 mmHg and a bicarbonate concentration of 55.3 mmol/l. He had a gradual exacerbation of nausea and vomiting due to atrophic gastritis, with a scarred, deformed pyloric part of the stomach and a duodenal bulb secondary to chronic peptic ulcer. His metabolic alkalosis and deteriorated renal function were corrected by intravenous saline with or without potassium chloride. However, his recovered creatinine clearance was at most 60 l/day (41.6 ml/min). A renal biopsy revealed cellular infiltration of mononuclear cells and atrophic change in the tubulointerstitium, suggesting chronic interstitial nephritis. Latent renal insufficiency and dehydration induced by protracted vomiting may easily induce a rapid and recurrent deterioration of renal function, and control of vomiting seemed to be the cardinal measure. Initially, his nausea and vomiting seemed to be successfully controlled by medication, however, they later became persistent and surgical correction of the stomach was carried out. Postoperative recovery was smooth, and the patient's vomiting and recurrent deterioration of renal function finally settled. |
| doi_str_mv | 10.1007/s10157-006-0435-6 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_68267196</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1185656491</sourcerecordid><originalsourceid>FETCH-LOGICAL-c349t-b5cb11a246ad31733556056cf19403904b3415a49ab896d6d3bfd212e668a8883</originalsourceid><addsrcrecordid>eNpdkE1r3DAQhkVJ6eajPyCXInrozY3G-j6GkDSBhV6SsxjLcquNbaWS3ZJ_Xy27EMhp3sMzLzMPIZfAvgNj-qoAA6kbxlTDBJeN-kBOQXDdaG3tSc1ctA1oCRtyVsqOMWastJ_IBjQYxTk_Jf019VgCTQPNwa85h3mpacaRDhjHNQeKpSQfcQk9_ReX33QKC3ZpjJ7i-IxjKrHQOPerr0D3Sl9yWjL6Pf43TXGJ868L8nHAsYTPx3lOnu5uH2_um-3PHw8319vGc2GXppO-A8BWKOw5aM6lVEwqP4AVjFsmOi5AorDYGat61fNu6Ftog1IGjTH8nHw79NYb_qyhLG6KxYdxxDmktThlWqXBqgp-fQfu0prr08W1YKo2bXSF4AD5nErJYXAvOU6YXx0wt_fvDv5d9e_2_t2--MuxeO2m0L9tHIXz_5nqgE4</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>218134787</pqid></control><display><type>article</type><title>A case of recurrent renal failure associated with metabolic alkalosis induced by protracted vomiting</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Akimoto, Tetsu ; Saito, Osamu ; Kotoda, Atsushi ; Nishino, Katsuhiko ; Umino, Tetsuo ; Muto, Shigeaki ; Kusano, Eiji</creator><creatorcontrib>Akimoto, Tetsu ; Saito, Osamu ; Kotoda, Atsushi ; Nishino, Katsuhiko ; Umino, Tetsuo ; Muto, Shigeaki ; Kusano, Eiji</creatorcontrib><description>We describe a case of recurrent deterioration of renal function in a 54-year-old man who was found to have metabolic alkalosis, with a maximum PaCO(2) of 73.9 mmHg and a bicarbonate concentration of 55.3 mmol/l. He had a gradual exacerbation of nausea and vomiting due to atrophic gastritis, with a scarred, deformed pyloric part of the stomach and a duodenal bulb secondary to chronic peptic ulcer. His metabolic alkalosis and deteriorated renal function were corrected by intravenous saline with or without potassium chloride. However, his recovered creatinine clearance was at most 60 l/day (41.6 ml/min). A renal biopsy revealed cellular infiltration of mononuclear cells and atrophic change in the tubulointerstitium, suggesting chronic interstitial nephritis. Latent renal insufficiency and dehydration induced by protracted vomiting may easily induce a rapid and recurrent deterioration of renal function, and control of vomiting seemed to be the cardinal measure. Initially, his nausea and vomiting seemed to be successfully controlled by medication, however, they later became persistent and surgical correction of the stomach was carried out. Postoperative recovery was smooth, and the patient's vomiting and recurrent deterioration of renal function finally settled.</description><identifier>ISSN: 1342-1751</identifier><identifier>EISSN: 1437-7799</identifier><identifier>DOI: 10.1007/s10157-006-0435-6</identifier><identifier>PMID: 17186333</identifier><identifier>CODEN: CENPFV</identifier><language>eng</language><publisher>Japan: Springer Nature B.V</publisher><subject>Acid-Base Equilibrium ; Alkalosis - etiology ; Humans ; Male ; Middle Aged ; Peptic Ulcer - complications ; Peptic Ulcer - surgery ; Recurrence ; Renal Insufficiency - etiology ; Stomach - surgery ; Vomiting - complications</subject><ispartof>Clinical and experimental nephrology, 2006-12, Vol.10 (4), p.279-283</ispartof><rights>Japanese Society of Nephrology 2006</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c349t-b5cb11a246ad31733556056cf19403904b3415a49ab896d6d3bfd212e668a8883</citedby><cites>FETCH-LOGICAL-c349t-b5cb11a246ad31733556056cf19403904b3415a49ab896d6d3bfd212e668a8883</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17186333$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Akimoto, Tetsu</creatorcontrib><creatorcontrib>Saito, Osamu</creatorcontrib><creatorcontrib>Kotoda, Atsushi</creatorcontrib><creatorcontrib>Nishino, Katsuhiko</creatorcontrib><creatorcontrib>Umino, Tetsuo</creatorcontrib><creatorcontrib>Muto, Shigeaki</creatorcontrib><creatorcontrib>Kusano, Eiji</creatorcontrib><title>A case of recurrent renal failure associated with metabolic alkalosis induced by protracted vomiting</title><title>Clinical and experimental nephrology</title><addtitle>Clin Exp Nephrol</addtitle><description>We describe a case of recurrent deterioration of renal function in a 54-year-old man who was found to have metabolic alkalosis, with a maximum PaCO(2) of 73.9 mmHg and a bicarbonate concentration of 55.3 mmol/l. He had a gradual exacerbation of nausea and vomiting due to atrophic gastritis, with a scarred, deformed pyloric part of the stomach and a duodenal bulb secondary to chronic peptic ulcer. His metabolic alkalosis and deteriorated renal function were corrected by intravenous saline with or without potassium chloride. However, his recovered creatinine clearance was at most 60 l/day (41.6 ml/min). A renal biopsy revealed cellular infiltration of mononuclear cells and atrophic change in the tubulointerstitium, suggesting chronic interstitial nephritis. Latent renal insufficiency and dehydration induced by protracted vomiting may easily induce a rapid and recurrent deterioration of renal function, and control of vomiting seemed to be the cardinal measure. Initially, his nausea and vomiting seemed to be successfully controlled by medication, however, they later became persistent and surgical correction of the stomach was carried out. Postoperative recovery was smooth, and the patient's vomiting and recurrent deterioration of renal function finally settled.</description><subject>Acid-Base Equilibrium</subject><subject>Alkalosis - etiology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Peptic Ulcer - complications</subject><subject>Peptic Ulcer - surgery</subject><subject>Recurrence</subject><subject>Renal Insufficiency - etiology</subject><subject>Stomach - surgery</subject><subject>Vomiting - complications</subject><issn>1342-1751</issn><issn>1437-7799</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2006</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNpdkE1r3DAQhkVJ6eajPyCXInrozY3G-j6GkDSBhV6SsxjLcquNbaWS3ZJ_Xy27EMhp3sMzLzMPIZfAvgNj-qoAA6kbxlTDBJeN-kBOQXDdaG3tSc1ctA1oCRtyVsqOMWastJ_IBjQYxTk_Jf019VgCTQPNwa85h3mpacaRDhjHNQeKpSQfcQk9_ReX33QKC3ZpjJ7i-IxjKrHQOPerr0D3Sl9yWjL6Pf43TXGJ868L8nHAsYTPx3lOnu5uH2_um-3PHw8319vGc2GXppO-A8BWKOw5aM6lVEwqP4AVjFsmOi5AorDYGat61fNu6Ftog1IGjTH8nHw79NYb_qyhLG6KxYdxxDmktThlWqXBqgp-fQfu0prr08W1YKo2bXSF4AD5nErJYXAvOU6YXx0wt_fvDv5d9e_2_t2--MuxeO2m0L9tHIXz_5nqgE4</recordid><startdate>200612</startdate><enddate>200612</enddate><creator>Akimoto, Tetsu</creator><creator>Saito, Osamu</creator><creator>Kotoda, Atsushi</creator><creator>Nishino, Katsuhiko</creator><creator>Umino, Tetsuo</creator><creator>Muto, Shigeaki</creator><creator>Kusano, Eiji</creator><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QP</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200612</creationdate><title>A case of recurrent renal failure associated with metabolic alkalosis induced by protracted vomiting</title><author>Akimoto, Tetsu ; Saito, Osamu ; Kotoda, Atsushi ; Nishino, Katsuhiko ; Umino, Tetsuo ; Muto, Shigeaki ; Kusano, Eiji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c349t-b5cb11a246ad31733556056cf19403904b3415a49ab896d6d3bfd212e668a8883</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>Acid-Base Equilibrium</topic><topic>Alkalosis - etiology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Peptic Ulcer - complications</topic><topic>Peptic Ulcer - surgery</topic><topic>Recurrence</topic><topic>Renal Insufficiency - etiology</topic><topic>Stomach - surgery</topic><topic>Vomiting - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Akimoto, Tetsu</creatorcontrib><creatorcontrib>Saito, Osamu</creatorcontrib><creatorcontrib>Kotoda, Atsushi</creatorcontrib><creatorcontrib>Nishino, Katsuhiko</creatorcontrib><creatorcontrib>Umino, Tetsuo</creatorcontrib><creatorcontrib>Muto, Shigeaki</creatorcontrib><creatorcontrib>Kusano, Eiji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Clinical and experimental nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Akimoto, Tetsu</au><au>Saito, Osamu</au><au>Kotoda, Atsushi</au><au>Nishino, Katsuhiko</au><au>Umino, Tetsuo</au><au>Muto, Shigeaki</au><au>Kusano, Eiji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A case of recurrent renal failure associated with metabolic alkalosis induced by protracted vomiting</atitle><jtitle>Clinical and experimental nephrology</jtitle><addtitle>Clin Exp Nephrol</addtitle><date>2006-12</date><risdate>2006</risdate><volume>10</volume><issue>4</issue><spage>279</spage><epage>283</epage><pages>279-283</pages><issn>1342-1751</issn><eissn>1437-7799</eissn><coden>CENPFV</coden><abstract>We describe a case of recurrent deterioration of renal function in a 54-year-old man who was found to have metabolic alkalosis, with a maximum PaCO(2) of 73.9 mmHg and a bicarbonate concentration of 55.3 mmol/l. He had a gradual exacerbation of nausea and vomiting due to atrophic gastritis, with a scarred, deformed pyloric part of the stomach and a duodenal bulb secondary to chronic peptic ulcer. His metabolic alkalosis and deteriorated renal function were corrected by intravenous saline with or without potassium chloride. However, his recovered creatinine clearance was at most 60 l/day (41.6 ml/min). A renal biopsy revealed cellular infiltration of mononuclear cells and atrophic change in the tubulointerstitium, suggesting chronic interstitial nephritis. Latent renal insufficiency and dehydration induced by protracted vomiting may easily induce a rapid and recurrent deterioration of renal function, and control of vomiting seemed to be the cardinal measure. Initially, his nausea and vomiting seemed to be successfully controlled by medication, however, they later became persistent and surgical correction of the stomach was carried out. Postoperative recovery was smooth, and the patient's vomiting and recurrent deterioration of renal function finally settled.</abstract><cop>Japan</cop><pub>Springer Nature B.V</pub><pmid>17186333</pmid><doi>10.1007/s10157-006-0435-6</doi><tpages>5</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1342-1751 |
| ispartof | Clinical and experimental nephrology, 2006-12, Vol.10 (4), p.279-283 |
| issn | 1342-1751 1437-7799 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_68267196 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Acid-Base Equilibrium Alkalosis - etiology Humans Male Middle Aged Peptic Ulcer - complications Peptic Ulcer - surgery Recurrence Renal Insufficiency - etiology Stomach - surgery Vomiting - complications |
| title | A case of recurrent renal failure associated with metabolic alkalosis induced by protracted vomiting |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-23T13%3A29%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20case%20of%20recurrent%20renal%20failure%20associated%20with%20metabolic%20alkalosis%20induced%20by%20protracted%20vomiting&rft.jtitle=Clinical%20and%20experimental%20nephrology&rft.au=Akimoto,%20Tetsu&rft.date=2006-12&rft.volume=10&rft.issue=4&rft.spage=279&rft.epage=283&rft.pages=279-283&rft.issn=1342-1751&rft.eissn=1437-7799&rft.coden=CENPFV&rft_id=info:doi/10.1007/s10157-006-0435-6&rft_dat=%3Cproquest_cross%3E1185656491%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=218134787&rft_id=info:pmid/17186333&rfr_iscdi=true |