Reversible Nephropathy Associated with Jet Fuel Exposure

Acute kidney injury (AKI) with progression to oliguric or anuric acute renal failure (ARF) is often related to use of well-known nephrotoxic agents including medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), angiotensin-converting enzyme inhibitors (ACEis)/angiotensin II receptor bl...

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Main Authors: Latif A. Salam, Khabbab Amin, Regina Cheng, Noriyuki Murakami, Clinton Brown, Lawrence Kwon
Format: Article
Language:English
Published: Wiley 2020-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2020/2932415
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author Latif A. Salam
Khabbab Amin
Regina Cheng
Noriyuki Murakami
Clinton Brown
Lawrence Kwon
author_facet Latif A. Salam
Khabbab Amin
Regina Cheng
Noriyuki Murakami
Clinton Brown
Lawrence Kwon
author_sort Latif A. Salam
collection DOAJ
description Acute kidney injury (AKI) with progression to oliguric or anuric acute renal failure (ARF) is often related to use of well-known nephrotoxic agents including medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), angiotensin-converting enzyme inhibitors (ACEis)/angiotensin II receptor blockers (ARBs), and certain classes of antibiotics. Hyperosmolar IV contrast is also a well-known nephrotoxic agent. Severe sepsis with subsequent hypotension, marked hyperglycemia, and those with difficulty accessing water or with poor oral intake can also present with acute kidney injury related to kidney hypoperfusion, dehydration, and volume depletion. In this case report, we discover and discuss the possible effects of regular and daily occupational exposure of jet fuel (a mixture of hydrocarbons) on renal function. Jet fuel is an underdescribed and not well-known nephrotoxic agent; however, its direct toxicity on kidney function appears to be reversible with removal of exposure and aggressive fluid hydration.
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language English
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publisher Wiley
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series Case Reports in Nephrology
spelling doaj-art-1110fcd288e64873b52512a9d5c284212025-08-20T02:02:19ZengWileyCase Reports in Nephrology2090-66412090-665X2020-01-01202010.1155/2020/29324152932415Reversible Nephropathy Associated with Jet Fuel ExposureLatif A. Salam0Khabbab Amin1Regina Cheng2Noriyuki Murakami3Clinton Brown4Lawrence Kwon5Department of Internal Medicine, Section of Hospital Medicine, State University of New York (SUNY) Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USADepartment of Internal Medicine, Section of Hospital Medicine, State University of New York (SUNY) Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USADepartment of Internal Medicine, Section of Hospital Medicine, State University of New York (SUNY) Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USADepartment of Internal Medicine, Section of Hospital Medicine, State University of New York (SUNY) Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USABrooklyn Health Disparities Center, Division of Nephrology, State University of New York (SUNY) Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USADepartment of Internal Medicine, Division of Nephrology, State University of New York (SUNY) Downstate Health Sciences University, 450 Clarkson Avenue, Brooklyn, NY 11203, USAAcute kidney injury (AKI) with progression to oliguric or anuric acute renal failure (ARF) is often related to use of well-known nephrotoxic agents including medications such as nonsteroidal anti-inflammatory drugs (NSAIDs), angiotensin-converting enzyme inhibitors (ACEis)/angiotensin II receptor blockers (ARBs), and certain classes of antibiotics. Hyperosmolar IV contrast is also a well-known nephrotoxic agent. Severe sepsis with subsequent hypotension, marked hyperglycemia, and those with difficulty accessing water or with poor oral intake can also present with acute kidney injury related to kidney hypoperfusion, dehydration, and volume depletion. In this case report, we discover and discuss the possible effects of regular and daily occupational exposure of jet fuel (a mixture of hydrocarbons) on renal function. Jet fuel is an underdescribed and not well-known nephrotoxic agent; however, its direct toxicity on kidney function appears to be reversible with removal of exposure and aggressive fluid hydration.http://dx.doi.org/10.1155/2020/2932415
spellingShingle Latif A. Salam
Khabbab Amin
Regina Cheng
Noriyuki Murakami
Clinton Brown
Lawrence Kwon
Reversible Nephropathy Associated with Jet Fuel Exposure
Case Reports in Nephrology
title Reversible Nephropathy Associated with Jet Fuel Exposure
title_full Reversible Nephropathy Associated with Jet Fuel Exposure
title_fullStr Reversible Nephropathy Associated with Jet Fuel Exposure
title_full_unstemmed Reversible Nephropathy Associated with Jet Fuel Exposure
title_short Reversible Nephropathy Associated with Jet Fuel Exposure
title_sort reversible nephropathy associated with jet fuel exposure
url http://dx.doi.org/10.1155/2020/2932415
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AT clintonbrown reversiblenephropathyassociatedwithjetfuelexposure
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