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Ultima descărcare din IBN: 2023-08-06 15:12 |
Căutarea după subiecte similare conform CZU |
616.61-008.64-07-036 (1) |
Patologia sistemului urogenital. Boli urinare şi sexuale (genitale) (392) |
SM ISO690:2012 GUTU, Biatricia, ROTARU, Larisa, AGACHI, Svetlana, PASCAL, Rodica, COVTUN, Anna, IANULOVA, Alina. A clinical case of the development of acute kidney failure caused by alcohol intoxication and narcotic substances. In: Revista de Ştiinţe ale Sănătăţii din Moldova, 2022, nr. 3 An.1(29), p. 210. ISSN 2345-1467. |
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Revista de Ştiinţe ale Sănătăţii din Moldova | ||||||
Numărul 3 An.1(29) / 2022 / ISSN 2345-1467 | ||||||
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CZU: 616.61-008.64-07-036 | ||||||
Pag. 210-210 | ||||||
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Background. One of the biggest challenge of contemporary medicine is due to excessive alcohol intake and an increased narcotics access, which leads to kidney damage, including acute kidney injury (AKI). Objective of the study. Clinical case presentation of AKI caused by narcotic overdose mixed with excessive alcohol consumption and critical necessity of hemodialysis (HD) therapy. Material and Methods. Anamnestic, clinical and paraclinical data were taken from the medical record. The patient was investigated by abdominal ultrasonography, lung radiography, computed tomography (CT) of the brain and toxicological screening. The literature on similar cases was studied. Results. On May 3rd 2022, a 33-year-old man was hospitalized in Clinical Department of Emergency, being confused, drowsy and anuric. The symptoms appeared on April 24 2022, after a big alcohol intake, in a long time (16-20h). Paraclinical examinations revealed Urea 79.5 mmol/l; Creatinine 1770.9 umol/l; K 6,49 mmol/l. Toxicological screening: Opioid and MOP - positive. The patient has been transferred to MCH “St Trinity” in Toxicological Department, where was performed 2 HD sessions. Nitrogen waste amount decreased after hemodialysis, so patient was transferred to Nephrology Department. At the end of treatment, on 16.05.22: Urea 11.85 mmol/l; Creatinine 166.8 umol/l; K 5,41 mmol/l. Conclusion. Excessive alcohol consumption in combination with narcotics can lead to reversible and irreversible kidney damage, as a result the availability of toxicological screening tests and possibility of early HD sessions are critical for patient survival. |
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Cuvinte-cheie acute kidney injury, alcohol, narcotics, hemodialysis, Insuficiența renală acută, alcool, droguri, hemodializa |
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