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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2015 ; 10
(12
): e0143367
Nephropedia Template TP
gab.com Text
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English Wikipedia
Neutrophil Gelatinase Associated Lipocalin (NGAL) in Leptospirosis Acute Kidney
Injury: A Multicenter Study in Thailand
#MMPMID26629810
Srisawat N
; Praditpornsilpa K
; Patarakul K
; Techapornrung M
; Daraswang T
; Sukmark T
; Khositrangsikun K
; Fakthongyoo A
; Oranrigsupak P
; Praderm L
; Suwattanasilpa U
; Peerapornratana S
; Loahaveeravat P
; Suwachittanont N
; Wirotwan TO
; Phonork C
; Kumpunya S
; Tiranathanagul K
; Chirathaworn C
; Eiam-ong S
; Tungsanga K
; Sitprija V
; Kellum JA
; Townamchai N
PLoS One
2015[]; 10
(12
): e0143367
PMID26629810
show ga
AKI is one of the most serious complications of leptospirosis, an important
zoonosis in the tropics. Recently, NGAL, one of the novel AKI biomarkers, is
extensively studied in various specific settings such as sepsis, cardiac surgery,
and radiocontrast nephropathy. In this multicenter study, we aimed to study the
role of NGAL as an early marker and an outcome predictor of leptospirosis
associated AKI. Patients who presented with clinical suspiciousness of
leptospirosis were prospectively enrolled in 9 centers from August 2012 to
November 2014. The first day of enrollment was the first day of clinical
suspicious leptospirosis. Blood and urine samples were serially collected on the
first three days and day 7 after enrollment. We used three standard techniques
(microscopic agglutination test, direct culture, and PCR technique) to confirm
the diagnosis of leptospirosis. KDIGO criteria were used for AKI diagnosis.
Recovery was defined as alive and not requiring dialysis during hospitalization
or maintaining maximum KDIGO stage at hospital discharge. Of the 221 recruited
cases, 113 cases were leptospirosis confirmed cases. Thirty seven percent
developed AKI. Median uNGAL and pNGAL levels in those developing AKI were
significantly higher than in patients not developing AKI [253.8 (631.4) vs 24.1
(49.6) ng/ml, p < 0.001] and [1,030 (802.5) vs 192.0 (209.0) ng/ml, p < 0.001],
respectively. uNGAL and pNGAL levels associated with AKI had AUC-ROC of 0.91, and
0.92, respectively. Both of urine NGAL and pNGAL level between AKI-recovery group
and AKI-non recovery were comparable. From this multicenter study, uNGAL and
pNGAL provided the promising result to be a marker for leptospirosis associated
AKI. However, both of them did not show the potential role to be the predictor of
renal recovery in this specific setting.