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: Kalyana Janga, Kundan Jana, Sheldon Greenberg, Vanessa Bijol, Vipluv Singh
Format: Article
Language:English
Published: American College of Physicians 2024-01-01
Series:Annals of Internal Medicine: Clinical Cases
Online Access:https://www.acpjournals.org/doi/10.7326/aimcc.2023.1068
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author Kalyana Janga
Kundan Jana
Sheldon Greenberg
Vanessa Bijol
Vipluv Singh
author_facet Kalyana Janga
Kundan Jana
Sheldon Greenberg
Vanessa Bijol
Vipluv Singh
author_sort Kalyana Janga
collection DOAJ
description 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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series Annals of Internal Medicine: Clinical Cases
spelling doaj-art-d5ce802ee2a548989ff0249f74be064f2025-08-20T02:12:57ZengAmerican College of PhysiciansAnnals of Internal Medicine: Clinical Cases2767-76642024-01-013110.7326/aimcc.2023.1068Acute Kidney Injury From Acute Oxalate Nephropathy in Diabetic Ketoacidosis: A Case ReportKalyana Janga0Kundan Jana1Sheldon Greenberg2Vanessa Bijol3Vipluv Singh41Division of Nephrology, Maimonides Medical Center, Brooklyn, New York1Division of Nephrology, Maimonides Medical Center, Brooklyn, New York1Division of Nephrology, Maimonides Medical Center, Brooklyn, New York2Department of Pathology, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Northwell Health, Great Neck, New York1Division of Nephrology, Maimonides Medical Center, Brooklyn, New YorkAcute 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.https://www.acpjournals.org/doi/10.7326/aimcc.2023.1068
spellingShingle Kalyana Janga
Kundan Jana
Sheldon Greenberg
Vanessa Bijol
Vipluv Singh
Acute Kidney Injury From Acute Oxalate Nephropathy in Diabetic Ketoacidosis: A Case Report
Annals of Internal Medicine: Clinical Cases
title Acute Kidney Injury From Acute Oxalate Nephropathy in Diabetic Ketoacidosis: A Case Report
title_full Acute Kidney Injury From Acute Oxalate Nephropathy in Diabetic Ketoacidosis: A Case Report
title_fullStr Acute Kidney Injury From Acute Oxalate Nephropathy in Diabetic Ketoacidosis: A Case Report
title_full_unstemmed Acute Kidney Injury From Acute Oxalate Nephropathy in Diabetic Ketoacidosis: A Case Report
title_short Acute Kidney Injury From Acute Oxalate Nephropathy in Diabetic Ketoacidosis: A Case Report
title_sort acute kidney injury from acute oxalate nephropathy in diabetic ketoacidosis a case report
url https://www.acpjournals.org/doi/10.7326/aimcc.2023.1068
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