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2015 ; 4
(1
): 95-100
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
A case of acute kidney injury and disseminated intravascular coagulation
associated with influenza B viral infection
#MMPMID28509280
Fukunaga S
; Ishida C
; Nakaoka A
; Ito T
CEN Case Rep
2015[May]; 4
(1
): 95-100
PMID28509280
show ga
There are few reports of acute kidney injury (AKI) associated with influenza
viral infection. We treated a case of AKI that developed after an influenza B
viral infection. A 35-year-old man visited a local physician for a fever and was
diagnosed with influenza B. He was prescribed laninamivir, then returned to the
physician 5 days later with dyspnea and was referred to Hospital A. Upon
admission, respiratory arrest developed, for which he received tracheal
intubation and mechanical ventilation. AKI was noted after admission and the
patient was transferred to our hospital the next day. AKI and disseminated
intravascular coagulation (DIC) were present at the time of transfer, thus a
transfusion and continuous hemodiafiltration (CHDF) were performed, and
administrations of thrombomodulin alpha and antithrombin III were initiated.
Although the patient had DIC, AKI, and disturbance of consciousness, and was in a
clinical state resembling influenza-associated encephalopathy, there was no clear
abnormality shown in CT scans of the head. Urine output, renal function, and
respiratory condition gradually improved, thus CHDF was stopped and extubation
performed. The patient had no complications and was discharged on hospital day
22. Some reports have been presented regarding cases of AKI due to rhabdomyolysis
associated with influenza viral infection, whereas our patient developed AKI as a
complication of an influenza B viral infection without rhabdomyolysis or
hemolytic uremic syndrome. Influenza B may cause AKI and DIC, and affected
patients can be in a serious condition requiring immediate attention.