Influence of Fluid Balance on Morbidity and Mortality in Critically Ill Patients With Acute Kidney Injury.

Introduction: Fluid management in critically ill patients with acute kidney injury (AKI) is controversial. Our study is aimed to evaluate the association between fluid balance and patient outcome in AKI patients admitted to intensive care unit (ICU).

Materials And Methods: This prospective study was carried out at Lilavati Hospital and Research Centre on 130 critically ill patients with AKI admitted to ICU.

Therapeutic Effects of Oral Nutritional Supplements during Haemodialysis: Physician's Experience.

Objectives: To evaluate the effects of predialytic oral nutritional supplementation in chronic kidney disease (CKD) patients on maintenance haemodialysis (MHD).

Methods: NEPRO HP was provided to 77 CKD patients on maintenance haemodialysis (MHD) over 3 months. Efficacy parameters were improvement in albumin levels, weight and haemoglobin levels; safety parameters were serum potassium and phosphorus values; other parameters were SGA and MIS scores.

Recurrent hyponatremia in an elderly patient with a cystic pituitary gland.

A 71-year-old male with a long history of diabetes and hypertension was admitted with mild azotemia and recurrent hyponatremia. He was diagnosed with a pituitary gland cystic tumor. On careful evaluation, his hyponatremia was found to be due to cerebral salt wasting.

Early recurrence of diabetic nodular sclerosis in a kidney transplant recipient.

Almost all kidney transplant recipients with diabetes mellitus will eventually develop recurrence of diabetic nephropathy in their allograft. Despite this high incidence, there are very few reported cases of diabetic nephropathy of diffuse type, and the nodular sclerosis form is uncommon. Recurrence of diabetic nephropathy of nodular glomerulosclerosis type usually occurs during the second decade of transplantation.

Polyomavirus associated nephropathy presenting five years after kidney transplantation.

Introduction: Polyomavirus associated nephropathy (PVAN) is being recognised as an important cause of renal transplant dysfunction. It is a difficult diagnosis to make and requires a high index of suspicion. Here we describe an unusually late presentation of PVAN that responded favourably to reduction of immunosuppression.

C1q nephropathy presenting as acute renal failure.

We describe a 42-year-old male patient who presented with high grade fever associated with acute renal failure requiring hemodialysis. Renal biopsy revealed that he had focal proliferative glomerulonephritis on light microscopy, dominant mesangial deposition of C1q by immunofluorescent staining, and electron dense deposits on electron microscopy, with no evidence of systemic lupus erythematosus, compatible with the diagnosis of C1q nephropathy. Intensive treatment with a combination of methyl prednisolone pulse therapy and oral prednisolone was successful in achieving complete remission and disappearance of proteinuria in our patient.

Management of scleroderma-related end-stage renal disease with automated peritoneal dialysis.

Kidney failure is the principal cause of death in scleroderma and accounts for at least 50% of deaths in this disease. Management of scleroderma-related end-stage renal disease requires some form of renal replacement therapy. Survival up to 18 months has been reported in one patient on continuous ambulatory peritoneal dialysis.