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10.1186/s12879-015-1180-9

http://scihub22266oqcxt.onion/10.1186/s12879-015-1180-9
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suck abstract from ncbi


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pmid26503619
      BMC+Infect+Dis 2015 ; 15 (ä): 464
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  • Urinary Neutrophil Gelatinase-Associated Lipocalin (NGAL) and proteinuria predict severity of acute kidney injury in Puumala virus infection #MMPMID26503619
  • Bunz H ; Weyrich P ; Peter A ; Baumann D ; Tschritter O ; Guthoff M ; Beck R ; Jahn G ; Artunc F ; Häring HU ; Heyne N ; Wagner R
  • BMC Infect Dis 2015[Oct]; 15 (ä): 464 PMID26503619 show ga
  • BACKGROUND: Nephropathia epidemica (NE) is a mild form of hemorrhagic fever with renal syndrome (HFRS) that is caused by the Puumala virus. Periodic outbreaks have been described in endemic areas, with a substantial number of previously healthy individuals developing acute kidney injury (AKI). There is a considerable diversity in the clinical course of the disease, and few patients require renal replacement therapy. METHODS: We tested whether urinary neutrophil gelatinase associated lipocalin (uNGAL), urine albumin/creatinine ratio (uACR), urine protein/creatinine ratio (uPCR), urine dipstick protein, C-reactive protein, procalcitonin, leukocyte and platelet count, determined on admission to the hospital, can predict the severity of AKI. Sixty-one patients were analyzed during admission in the emergency department. RESULTS: The variables most strongly associated with peak plasma creatinine concentration were uNGAL (? = 0.70, p <0.0001), uPCR (? = 0.64, p = 0.001), uACR (? = 0.61, p = 0.002), and dipstick proteinuria (? = 0.34, p = 0.008). The highest AUC-ROC to predict stage 3 AKI according to the acute kidney injury network's (AKIN) classification was seen for uNGAL (0.81, p = 0.001). CONCLUSION: uNGAL accurately predicts the severity of AKI in NE. This could help emergency room physicians predict disease severity and allow for initial risk stratification.
  • |Acute Kidney Injury/etiology/urine/virology [MESH]
  • |Acute-Phase Proteins/*urine [MESH]
  • |Adult [MESH]
  • |Albuminuria/etiology [MESH]
  • |Biomarkers/blood/urine [MESH]
  • |C-Reactive Protein/analysis [MESH]
  • |Calcitonin [MESH]
  • |Calcitonin Gene-Related Peptide [MESH]
  • |Creatinine/blood [MESH]
  • |Emergency Service, Hospital [MESH]
  • |Female [MESH]
  • |Hemorrhagic Fever with Renal Syndrome/*etiology/virology [MESH]
  • |Humans [MESH]
  • |Lipocalin-2 [MESH]
  • |Lipocalins/*urine [MESH]
  • |Male [MESH]
  • |Middle Aged [MESH]
  • |Protein Precursors [MESH]
  • |Proteinuria/*etiology [MESH]
  • |Proto-Oncogene Proteins/*urine [MESH]
  • |Puumala virus/*pathogenicity [MESH]


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