Highest Recorded Serum Creatinine
Serum creatinine is a commonly used laboratory marker to assess kidney function; however, there has not been an established level of serum creatinine to predict mortality. After extensive literature review, we present a case of the highest recorded serum creatinine of 73.8 mg/dL in a 23-year-old mal...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
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| Series: | Case Reports in Nephrology |
| Online Access: | http://dx.doi.org/10.1155/2021/6048919 |
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| _version_ | 1832545902203502592 |
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| author | Christine Persaud Uttsav Sandesara Victor Hoang Joshua Tate Wayne Latack David Dado |
| author_facet | Christine Persaud Uttsav Sandesara Victor Hoang Joshua Tate Wayne Latack David Dado |
| author_sort | Christine Persaud |
| collection | DOAJ |
| description | Serum creatinine is a commonly used laboratory marker to assess kidney function; however, there has not been an established level of serum creatinine to predict mortality. After extensive literature review, we present a case of the highest recorded serum creatinine of 73.8 mg/dL in a 23-year-old male with the history of pediatric deceased donor kidney transplant (DDKT). He initially presented with uremia and signs of acute renal allograft failure after two months of immunosuppressive medication nonadherence, ultimately requiring emergent hemodialysis, which was complicated by new onset seizures. This was the patient’s fourth episode of late acute rejection and emphasizes the need for education of immunosuppressant adherence and periodic monitoring of renal function in high-risk patients. Though there is no known creatinine level incompatible with life, this patient appears to have the highest known serum creatinine in a uremic patient on record. |
| format | Article |
| id | doaj-art-1121787a62334b59badb629a52188dc7 |
| institution | Kabale University |
| issn | 2090-6641 2090-665X |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Nephrology |
| spelling | doaj-art-1121787a62334b59badb629a52188dc72025-02-03T07:24:22ZengWileyCase Reports in Nephrology2090-66412090-665X2021-01-01202110.1155/2021/60489196048919Highest Recorded Serum CreatinineChristine Persaud0Uttsav Sandesara1Victor Hoang2Joshua Tate3Wayne Latack4David Dado5Department of Medicine, Keesler Medical Center, Biloxi 39534, MS, USADepartment of Medicine, University of Mississippi Medical Center, Jackson 39216, MS, USADepartment of Medicine, Keesler Medical Center, Biloxi 39534, MS, USADepartment of Medicine, Keesler Medical Center, Biloxi 39534, MS, USADepartment of Medicine, Keesler Medical Center, Biloxi 39534, MS, USADepartment of Medicine, Keesler Medical Center, Biloxi 39534, MS, USASerum creatinine is a commonly used laboratory marker to assess kidney function; however, there has not been an established level of serum creatinine to predict mortality. After extensive literature review, we present a case of the highest recorded serum creatinine of 73.8 mg/dL in a 23-year-old male with the history of pediatric deceased donor kidney transplant (DDKT). He initially presented with uremia and signs of acute renal allograft failure after two months of immunosuppressive medication nonadherence, ultimately requiring emergent hemodialysis, which was complicated by new onset seizures. This was the patient’s fourth episode of late acute rejection and emphasizes the need for education of immunosuppressant adherence and periodic monitoring of renal function in high-risk patients. Though there is no known creatinine level incompatible with life, this patient appears to have the highest known serum creatinine in a uremic patient on record.http://dx.doi.org/10.1155/2021/6048919 |
| spellingShingle | Christine Persaud Uttsav Sandesara Victor Hoang Joshua Tate Wayne Latack David Dado Highest Recorded Serum Creatinine Case Reports in Nephrology |
| title | Highest Recorded Serum Creatinine |
| title_full | Highest Recorded Serum Creatinine |
| title_fullStr | Highest Recorded Serum Creatinine |
| title_full_unstemmed | Highest Recorded Serum Creatinine |
| title_short | Highest Recorded Serum Creatinine |
| title_sort | highest recorded serum creatinine |
| url | http://dx.doi.org/10.1155/2021/6048919 |
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