AKI in a Hospitalized Patient with Cellulitis.
Section of Nephrology, Department of Medicine, Yale University School of Medicine, New Haven, Connecticut.
Acute Kidney Injury
AKI occurs commonly in hospitalized patients with multiple comorbidities. In this Attending Rounds, a woman with AKI in the setting of an infection, use of antibiotics and other medications, bacteremia, and hypotension is considered. Such patients lead to a broad differential diagnosis for AKI including prerenal AKI, acute tubular injury/acute tubular necrosis, infection-related GN, and drug-induced acute interstitial nephritis. The roles of an accurate history, physical examination, laboratory data, and kidney biopsy are highlighted in establishing the correct diagnosis in such patients.
Labels: acute kidney injury, AKI, antibiotics, bacteremia, Cellulitis, edications, hypotension, interstitial nephritis, kidney biopsy, prerenal AKI, tubular injury, tubular necrosis