Nephron. Physiology
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We report a case of nonketotic hyperosmolal state associated with rhabdomyolysis. None of the known predisposing factors for rhabdomyolysis, e.g. coma, potassium or phosphate depletion, were present in this patient. We propose that severe hyperosmolality per se may represent another predisposing factor for nontraumatic rhabdomyolysis.
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Nephron. Physiology · Jan 1987
Case ReportsDelayed traumatic arteriovenous fistula following hemodialysis vascular catheterization.
Arteriovenous fistula formation is a rare complication of percutaneous femoral vein cannulation for hemodialysis. Symptoms and physical findings may be elusive and the lesion can proceed unnoticed for extended periods of time. This complication is easily managed with surgical repair following rapid clinical and angiographic diagnosis. It is the purpose of this paper to report a case of delayed arteriovenous fistula formation 7 months following percutaneous insertion of an acute hemodialysis catheter into the femoral vein.
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Nephron. Physiology · Jan 1985
Case ReportsShunt nephritis: histological dynamics following removal of the shunt. Case report and review of the literature.
Diffuse crescentic glomerulonephritis was observed in a 40-year-old male patient who had a ventriculoatrial shunt implanted after a traffic accident 10 years previously. Immediately after treatment with immunosuppressants and plasma pheresis, signs of meningitis and septicemia developed. The responsible organism isolated was Staphylococcus albus. ⋯ Repeat renal biopsy performed 5 months after the removal of the shunt revealed mild mesangial proliferative and sclerotic glomerulonephritis with fibrous crescents. No apparent deposits observed in the initial biopsy were found on ultrastructural and immunofluorescent examinations. The reported cases with serial renal biopsies before and after the removal of the shunt were reviewed.