The Korean journal of internal medicine

The Korean Association of Internal Medicine (대한내과학회)
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Hypothermia-induced acute kidney injury in an elderly patient

  • Yoon, Hyun Ju (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Kim, Mun Chul (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Park, Jae Woo (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Yang, Min A (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Lee, Cheon Beom (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Sun, In O (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center) ;
  • Lee, Kwang Young (Division of Nephrology, Department of Internal Medicine, Presbyterian Medical Center)
  • Received : 2012.07.30
  • Accepted : 2012.10.05
  • Published : 2014.01.01
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Abstract

Hypothermia, defined as an unintentional decline in the core body temperature to below $35^{\circ}C$, is a life-threatening condition. Patients with malnutrition and diabetes mellitus as well as those of advanced age are at high risk for accidental hypothermia. Due to the high mortality rates of accidental hypothermia, proper management is critical for the wellbeing of patients. Accidental hypothermia was reported to be associated with acute kidney injury (AKI) in over 40% of cases. Although the pathogenesis remains to be elucidated, vasoconstriction and ischemia in the kidney were considered to be the main mechanisms involved. Cases of AKI associated with hypothermia have been reported worldwide, but there have been few reports of hypothermia-induced AKI in Korea. Here, we present a case of hypothermia-induced AKI that was treated successfully with rewarming and supportive care.

Keywords

References

  1. Reuler JB. Hypothermia: pathophysiology, clinical settings, and management. Ann Intern Med 1978;89:519-527. https://doi.org/10.7326/0003-4819-89-4-519
  2. Epstein E, Anna K. Accidental hypothermia. BMJ 2006;332:706-709. https://doi.org/10.1136/bmj.332.7543.706
  3. Moss J. Accidental severe hypothermia. Surg Gynecol Obstet 1986;162:501-513.
  4. Megarbane B, Axler O, Chary I, Pompier R, Brivet FG. Hypothermia with indoor occurrence is associated with a worse outcome. Intensive Care Med 2000;26:1843-1849. https://doi.org/10.1007/s001340000702
  5. Yamada S, Shimomura Y, Ohsaki M, Fujisaki A, Tsuruya K, Iida M. Hypothermia-induced acute kidney injury in a diabetic patient with nephropathy and neuropathy. Intern Med 2010;49:171-174. https://doi.org/10.2169/internalmedicine.49.2661
  6. Lonning PE, Skulberg A, Abyholm F. Accidental hypothermia: review of the literature. Acta Anaesthesiol Scand 1986;30:601-613. https://doi.org/10.1111/j.1399-6576.1986.tb02485.x
  7. McCullough L, Arora S. Diagnosis and treatment of hypothermia. Am Fam Physician 2004;70:2325-2332.
  8. Durakovic Z, Misigoj-Durakovic M, Corovic N, et al. Hypothermia and acute renal failure in the elderly. Coll Antropol 1998;22:135-140.
  9. Oh YL, Kim HI, Um MS, et al. Cases of hypothermia with Osborne's J wave on ECG. Korean J Med 2000;59:561-564.
  10. Miller JW, Danzl DF, Thomas DM. Urban accidental hypothermia: 135 cases. Ann Emerg Med 1980;9:456-461. https://doi.org/10.1016/S0196-0644(80)80304-0

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