Feb 26, 2021Open AccessArticle
Introduction: Hypertension, often associated with hypervolemia, is common in chronic hemodialysis patients. However, the relationship between interdialytic weight gain (IDWG) and blood pressure (BP) is incompletely characterized. Our study seeks to appreciate the relationship between IDWG and BP in a cohort of chronic hemodialysis patients. Patients and Methods: It is a prospective study involving 52 chronic hemodialysis patients and 528 dialysis sessions following a hemodialysis program of 3 ti...
Oct 29, 2020Open AccessArticle
The pandemic caused by the coronavirus SARS-CoV-2 has affected millions of people around the world. There are no definitive treatments available to date, which has led to the use of several repurposed drugs. Indomethacin is an effective non-steroidal anti-inflammatory drug, which has played an important role in the treatment of rheumatological conditions and cytokine storms, in the past. Coronavirus disease 2019 (COVID-19) causes cytokine storm and multiorgan dysfunction resulting in high mortal...
Aug 18, 2020Open AccessArticle
We report a case of a 66-year-old female patient with ischemic cardiomyopathy, who was referred in Nephrology Department for the management of a renal impairment associated-severe hyponatremia, hypokalemia and hypochloremia that occurred after vomiting episodes evolving since 1 month. On admission, the patient was calm with a psychomotor retardation occurring in a context of moderate dehydration. Arterial blood gas analysis outlined a severe metabolic alkalosis. An extra-renal cause of these met...
Apr 22, 2020Open AccessArticle
Cystic renal neoplasms can be classified as benign and malignant, consisting of multilocular cystic renal cell cancer, cystic renal cell cancer, multilocular cystic nephroma and benign multilocular cysts. The objective of this article is to summarize the clinical aspects of multilocular cystic nephroma and discuss the major similarities that provoke difficulties in proper diagnosis and treatment.
May 16, 2017Open AccessArticle
There has been a notable
rise in the number of patients diagnosed with chronic kidney disease (CKD) over
the years across the world, with most cases subsequently leading to end-stage
renal failure. Hemodialysis (HD) remains one of the main treatments for
end-stage renal disease (ESRD) worldwide. Despite improvements in dialysis
care, the mortality of patients with ESRD on maintenance hemodialysis is
Apr 26, 2017Open AccessArticle
This clinical report
presents a 45-year-old female patient with acute kidney injury, hepatic
dysfunction and urosepsis without past history of any illness related to
urinary system. Laboratory investigations showed Hb 15.6 gm/dl, neutrophilic
leukocytosis, thrombocytes 9000/mm3, ESR 90 mm/h, plasma
thromboplastin time (PTT) 48 seconds (control 32 seconds), INR 2, and fibrinogen
Aug 22, 2016Open AccessArticle
Healthcare-associated infections are a major risk to patient safety.
Infection is the first cause of hospitalisation and the second most common
cause of mortality among haemodialysis (HD) patients. HD patients, as well as
the dialysis staff, are vulnerable to contracting healthcare-associated
infections due to frequent and prolonged exposures to many possible
contaminants in the dialysis environment. The extracorporeal nature of t
Mar 29, 2016Open AccessArticle
Background: There is a need to do ABO incompatible kidney transplantation
in a country like India where deceased donor transplantation is not common.
More than 90% transplantations are done with living donors. Although short term
results have been reported from 4 centers, there is paucity of data on long
term follow-up of such patients. Methods: The data of 18 patients who had
undergone ABO incompatible transplantation exceeding a follow-up of 12 months
up to 66 months were analyzed. It was comp...
Aug 13, 2015Open AccessArticle
Objective: We aim to report observations from patients who developed acute
kidney injury after complicated obstetrics and referred to our institution. Patients
and Methods: Observational cohort of patients identified as having acute kidney
injury (AKI) in obstetrical situation, at a tertiary center in Pakistan, from January
1990-December 2014. AKI was defined according to RIFLE criteria and patients fall
from Risk to Loss category on arrival. On ultrasonography, all women had normal
size non obs...
May 30, 2014Open AccessArticle
Percutaneous renal biopsy with sonographic guidance is the standard by which renal tissue is sampled. In patients with uncorrectable coagulopathy or other contra-indication, percutaneous biopsy may not be feasible and a transvenous approach is preferred. This method limits the risk of bleeding complications as tissue is obtained endovascularly without transgression of the renal capsule. Arteriovenous fistula (AVF), a well-documented complication of percutaneous biopsy, has yet to be reported whe...