Acute kidney injury in the pregnant patient

2012 ◽  
Vol 78 (12) ◽  
pp. 478-486 ◽  
Author(s):  
Rosemary Nwoko ◽  
Darko Plecas ◽  
Vesna D. Garovic
Keyword(s):  
Acute Kidney Injury ◽  
Kidney Injury ◽  
Pregnant Patient

scholarly journals POS-187 ACUTE KIDNEY INJURY IN A PREGNANT PATIENT WITH COVID-19: CASE REPORT

2021 ◽  
Vol 6 (4) ◽  
pp. S78
Author(s):  
M. WILOT HETTWER ◽  
T. Bueno Batista ◽  
L. Zanetti ◽  
S. Okubu ◽  
M. Batista Pereira ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Case Report ◽  
Kidney Injury ◽  
Pregnant Patient

scholarly journals Severe Hyperphosphatemia in a Patient with Mild Acute Kidney Injury

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Phuong Chi Pham ◽  
Raghu Konanur Ventakaram ◽  
Jimmy Pham ◽  
Harpreet Sidhu ◽  
Nada Bader ◽  
...  
Keyword(s):  
Acute Kidney Injury ◽  
Liposomal Amphotericin ◽  
Measurement Techniques ◽  
Kidney Injury ◽  
Pregnant Patient ◽  
Phosphate Binding ◽  
Contributing Factors ◽  
Acid Base Status ◽  
Reduced Kidney Function ◽  
Full Investigation

Hyperphosphatemia may arise from various conditions including exogenous ingestion, extracellular shifts due to cell death or alterations in acid-base status, increased bone resorption, hormonal dysregulations leading to reduced renal excretion, reduced kidney function, or faulty measurement techniques. We herein present a case of a young pregnant woman who presented with mild acute kidney injury (AKI), invasive mucormycosis receiving liposomal amphotericin, and hyperphosphatemia out of proportion to the degree of kidney injury. While the patient was given routine phosphate-binding agent by her primary care team for presumed AKI-associated hyperphosphatemia, a full investigation by the renal consulting team for contributing factors other than kidney injury revealed that she actually had pseudohyperphosphatemia associated with the use of liposomal amphotericin. Erroneous treatment of pseudohyperphosphatemia may have been detrimental to this pregnant patient. A literature review for conditions associated with pseudohyperphosphatemia other than the use of liposomal amphotericin will be discussed.

Renal disease in pregnancy

2020 ◽  
pp. 2589-2596
Author(s):  
Kate Wiles
Keyword(s):  
Chronic Kidney Disease ◽  
Acute Kidney Injury ◽  
Kidney Disease ◽  
Post Partum ◽  
Asymptomatic Bacteriuria ◽  
Kidney Injury ◽  
Pregnant Patient ◽  
Symptomatic Infection ◽  
Renal System ◽  
In Pregnancy

Pregnancy leads to extensive and complex physiological changes in the kidney and renal system. This chapter explores the various complications that can occur in the renal system of the pregnant woman, including acute kidney injury, chronic kidney disease, and urinary tract infection. The causes of acute kidney injury in pregnancy are as those in the non-pregnant patient, but additional pregnancy-related pathologies must be considered, including pre-eclampsia and HELLP syndrome. Microangiopathic haemolytic anaemias (haemolytic uraemic syndrome and thombotic thrombocytopenic purpura) are rare but can be triggered by pregnancy or the post-partum state. Failure of the renal system to adapt to pregnancy is hypothesized to lead to the increase in adverse maternal and fetal outcomes seen in women with chronic kidney disease. Asymptomatic bacteriuria affects 2–10% of pregnant women and is associated with increased risks of symptomatic infection, preterm birth, low birth weight, and perinatal mortality. Antibiotic treatment mitigates these risks.

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