PMC:7224584 / 6211-7434 JSONTXT

{"target":"http://pubannotation.org/docs/sourcedb/PMC/sourceid/7224584","sourcedb":"PMC","sourceid":"7224584","source_url":"https://www.ncbi.nlm.nih.gov/pmc/7224584","text":"Baseline creatinine was obtained from the patient’s primary care physician, which was 1.32 mg/dL three months prior. The patient was diagnosed with acute kidney failure associated with severe acidosis and, at this point, she was anuric. In this context, she was admitted to the ICU. During the eight days of ICU hospitalization, the patient was volume resuscitated with intravenous fluids for decreased renal perfusion secondary to dehydration. She needed renal replacement therapy during the first six days. Once stable, she was admitted to the internal medicine infirmary. Her creatinine at admission was 8.00 mg/dl. The patient underwent extensive laboratory and imaging studies, which were all inconclusive or nondiagnostic. The comprehensive laboratory panel included hepatitis B surface antigen (HbsAg), hepatitis C antibody (HCV Ag), HIV, anti-nuclear antibody (ANA), antineutrophil cytoplasmic antibody (ANCA), and glomerular basement membrane antibody (GBM Ab), which were all negative. She did another renal ultrasound (the first one was made while she was in the ER) and showed both kidneys measuring 12 cm of bipolar diameter with no evidence of renal mass lesions, hydronephrosis, or calcifications (Figure 1).","tracks":[]}