Erschienen in:
07.11.2021 | Lessons for the Clinical Nephrologist
A case of postpartum AKI: recurrent atypical hemolytic uremic syndrome, HELLP syndrome or paroxysmal nocturnal hemoglobinuria? Lessons for the clinical nephrologist
verfasst von:
Jian Lu, Sonia Samuel, Yasin Abdi Saed, Rongshan Li, Yafeng Li
Erschienen in:
Journal of Nephrology
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Ausgabe 2/2022
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Excerpt
A 23-year-old woman at 36 weeks of pregnancy presented to a local hospital with fever, abdominal pain, and dark urine. Her past medical history was unremarkable, except for similar symptoms 2 months earlier. At that time, she was referred to the local hospital and urinalysis revealed 1 + blood and a 24-h urinary protein excretion of 1.73 g. She was discharged after painkillers and i.v. fluids, however she returned to the local hospital again, after a further episode of lower abdominal pain and dark brown urine. Urinalysis revealed 3 + protein and 3 + blood. Fetal monitoring suggested hypoxia. A cesarean section was performed the following day, at 36 gestational weeks, following which she developed oliguria. Laboratory results demonstrated glutamic oxaloacetic transaminase of 278 IU/L, albumin of 3.3 g/dL, creatinine of 1.62 mg/dl. …
