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Snakebite-associated acute kidney injury in South Asia: narrative review on epidemiology, pathogenesis and management.
Trans R Soc Trop Med Hyg
January 2025
Department of Clinical Medicine, Faculty of Medicine, University of Colombo, P.O. 00800, Sri Lanka.
Snakebite-associated acute kidney injury (AKI) poses a significant health burden in the South Asia region, resulting in considerable morbidity and mortality. Multiple factors contribute to the pathogenesis of AKI following snakebites, including hypotension, intravascular haemolysis, disseminated intravascular coagulation, rhabdomyolysis, thrombotic microangiopathy (TMA) and direct nephrotoxicity. Clinical features manifest as anuria, oliguria, haematuria, abdominal pain and hypertension.
View Article and Find Full Text PDFSpontaneous bladder rupture masquerading as loculated ascites with septations in postpartum - A case report.
J Family Med Prim Care
November 2024
Department of OBG, AIIMS, Bhubaneswar, Odisha, India.
The occurrence of spontaneous bladder rupture during labor or the postpartum period after an uncomplicated vaginal delivery is exceedingly uncommon. However, we encountered a case involving spontaneous bladder rupture, which resulted in the development of localized fluid collections in the abdomen after an uncomplicated vaginal delivery. In this instance, the absence of typical peritonitis symptoms, such as abdominal pain or tenderness, and the lack of typical urological symptoms, including haematuria, dysuria, and anuria, coupled with the absence of clinical manifestations of puerperal sepsis, the absence of microbial presence in the ascitic fluid, and the patient's symptomatic amelioration following antibiotic therapy, contributed to a delay in identifying the bladder rupture.
View Article and Find Full Text PDFAcute Kidney Injury in Children: Classification, Recognition and Treatment Principles.
Children (Basel)
October 2024
Department of Nephrology, Division of Pediatrics, University Medical Centre Ljubljana, Bohoričeva 20, 1000 Ljubljana, Slovenia.
Article Synopsis
- Acute kidney injury (AKI) in children is a serious condition that involves a rapid decline in kidney function, with a focus on understanding its causes and effects.
- The article covers key concepts such as urine output changes, drug-induced kidney damage, and vital assessments like electrolyte balance and blood flow to the kidneys.
- It also addresses the management strategies in the ICU for AKI, the potential need for dialysis, and highlights long-term risks such as chronic kidney disease and hypertension after experiencing AKI.
Bladder Adenocarcinoma in a Constellation of Multiple Site Malignancies: An Unusual Case and Systematic Review.
Diagnostics (Basel)
November 2024
Department of Urology, Faculty of Medicine and Pharmacy, University of Oradea, 410087 Oradea, Romania.
Background And Objectives: Multiple primary malignant tumors represent a small percentage of the total number of oncological cases and can involve either metachronous or synchronous development and represent challenges in diagnosis, staging, and treatment planning. Our purpose is to present a rare case of bladder adenocarcinoma in a female patient with multiple primary malignant tumors and to provide systematic review of the available literature.
Materials And Methods: A 67-year-old female patient was admitted with altered general condition and anuria.
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