Acute Kidney Injury From Acute Oxalate Nephropathy in Diabetic Ketoacidosis: A Case Report
Acute oxalate nephropathy is a rare cause of acute kidney injury. Most cases of hyperoxaluria and oxalate nephropathy have been due to increased oxalate absorption from enzymatic defects or malabsorption. Here, we describe a 60-year-old woman with long-standing diabetes who developed acute oxalate n...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
American College of Physicians
2024-01-01
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| Series: | Annals of Internal Medicine: Clinical Cases |
| Online Access: | https://www.acpjournals.org/doi/10.7326/aimcc.2023.1068 |
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| Summary: | Acute oxalate nephropathy is a rare cause of acute kidney injury. Most cases of hyperoxaluria and oxalate nephropathy have been due to increased oxalate absorption from enzymatic defects or malabsorption. Here, we describe a 60-year-old woman with long-standing diabetes who developed acute oxalate nephropathy during hospitalization due to renal hypoperfusion from diabetic ketoacidosis, nonsteroidal anti-inflammatory drug use, angiotensin-converting enzyme inhibitor use, and nephrotoxic antibiotics. The patient required hemodialysis briefly and improved with intravenous fluids with residual renal dysfunction on follow-up. Oxalate nephropathy causes severe renal failure, and it is an important differential diagnosis in patients with predisposing factors. |
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| ISSN: | 2767-7664 |