Acute kidney injury after near drowning: The way from the beach to hemodialysis

Abstract

Acute kidney injury (AKI) occurs in many different situations and may have a variable prognosis influenced by clinical setting, underlying cause, and comorbidity. This is important because of the high mortality and morbidity risk affecting many people around the world. Near-drowning related AKI requiring hemodialysis is very seldom reported in literature. Although cardiovascular and respiratory disorders are more frequently seen after this entity, we aimed to emphasize this rare but dangerous complication in near-drowning patients.

Acute kidney injury and sinus bradycardia associated with near-drowning

“…The cases with severe isolated AKI after near-drowning are very seldom reported [5]. In another study, Alp A et al present a rare cause of AKI in a middle-aged man with hemodialysis [1]. Our case had AKI.…”

“…Although the typical flow diagram splits into prerenal, renal, and postrenal subgroups. Some of the clinical entities may not be defined within a specific subset, which is the case for AKI associated with near-drowning [1]. Only a small number of such cases have been reported.…”

The Utility of Non-Invasive Nasal Positive Pressure Ventilation for Acute Respiratory Distress Syndrome in Near Drowning Patients

“…Two patients underwent CRRT because their creatinine levels increased by more than two-fold during the hospital stay, and the urine output was less than 0.3 mL/kg/h despite adequate fluid therapy. AKI in near drowning patients is caused by hypoxic renal injury, reduced renal blood flow, and systemic inflammatory response [17][18][19]. However, since patients who require CRRT are uncommon, AKI must be mild and is probably caused by acute tubular necrosis [8,[17][18][19].…”

“…AKI in near drowning patients is caused by hypoxic renal injury, reduced renal blood flow, and systemic inflammatory response [17][18][19]. However, since patients who require CRRT are uncommon, AKI must be mild and is probably caused by acute tubular necrosis [8,[17][18][19]. Unlike previous studies, we did not perform renal biopsy to differentiate the causes of AKI.…”

Acute Kidney Injury After Near-Drowning In A Pool

“…Our literature search revealed that AKI in seemingly well victims of near drowning is often diagnosed after a delay of a few days from the initial event. This is due to victims presenting late [3][4][5] or due to AKI not being evident or picked up during the immediate medical visit post drowning [6][7][8] and only detected the 2 nd time the victims re-attended. Summary of the cases is shown in Table 1.…”