Hypothermia-induced acute kidney injury in an elderly patient

The Korean Journal of Internal Medicine 2014³â 29±Ç 1È£ p.111 ~ p.115

À±ÇöÁÖ(Yoon Hyun-Ju) - Presbyterian Medical Center Department of Internal Medicine
±è¹®Ã¶(Kim Mun-Chul) - Presbyterian Medical Center Department of Internal Medicine
¹ÚÀç¿ì(Park Jae-Woo) - Presbyterian Medical Center Department of Internal Medicine
¾ç¹Î¾Æ(Yang Min-A) - Presbyterian Medical Center Department of Internal Medicine
(Lee Cheon-Beom) - Presbyterian Medical Center Department of Internal Medicine
¼±ÀοÀ(Sun In-O) - Presbyterian Medical Center Department of Internal Medicine
À̱¤¿µ(Lee Kwang-Young) - Presbyterian Medical Center Department of Internal Medicine

Abstract

Hypothermia, defined as an unintentional decline in the core body temperature to below 35¡É, 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.

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Hypothermia, Acute kidney injury, Rewarming, Vasoconstriction, Ischemia
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