Téma:  Case Studies

Acute renal failure in pregnancy and hemodialysis

Anna Pallaiová, Jozef Makohus, Ľubomír Rohoň, Benjamín Bančej, Jaroslav Jasovský

The authors describe the case report of a 33-year-old pregnant woman who in suicidal intention took a large amount of glicazid resulting in acute renal failure with a prolonged anuria and disruption of the inner and mineral environment. Acute renal failure is rare in pregnancy and rarely reported in literature. One of the cause of acute renal failure might be intoxication. Therapy management of acute renal failure (ARF) in pregnancy is identical to therapy of non-pregnant women, of course with following lege artis steps not to impair the foetus. If the conservative therapy fails, extracorporeal eliminating therapy (EET) is indicated – hemodialysis (HD), hemodiafiltration (HDF), peritoneal dialysis (PD). In the presented case the mother and foetus survived due to intensive conservative therapy and EET. Whole 15 HD and 10 HDF on line were performed. After delivering the mother was treated by conservative therapy.

Ročník 2009  Témy časopisu Internal medicine 7 / 2009

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3. LIPID Study Group. Prevention of cardiovascular events and death with pravastatin in patients with coronary heart disease and a broad range of initial cholesterol levels. N Engl J Med 1998; 339: 1349-1357.
4. Jurkovičová O, Spitzerová H, Cagáň S. Komorové arytmie a náhla srdcová smrť pri akútnom infarkte myokardu. Bratisl Lek Listy 1997; 98: 379-389.
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