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2014 ; 2014
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Acute kidney injury with hypoxic respiratory failure
#MMPMID25246473
Neubert Z
; Hoffmann P
; Owshalimpur D
BMJ Case Rep
2014[Sep]; 2014
(ä): ä PMID25246473
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A 27-year-old Caucasian man was transferred from a remote clinic with acute
kidney injury for the prior 7-10 days preceded by gastroenteritis. His kidney
biopsy showed non-specific mesangiopathic glomerular changes, minimal
tubulointerstitial disease without sclerosis, crescents, nor evidence of
vasculitis. On his third hospital day, he developed acute hypoxic respiratory
failure requiring intubation and mechanical ventilation. Pulmonary renal
syndromes ranked highest on his differential diagnosis. He was extubated after 2
days of mechanical ventilation and after pulse dose steroids. His lung biopsy
showed pulmonary capillaritis. Our case describes a patient with clinically
appearing renopulmonary syndrome, but found to have pulmonary capillaritis, a
rare form of lung disease that may also cause acute kidney injury.