Abstract:
RATIONALE:Acute kidney injury is common and correctable in patients with a hyperosmolar hyperglycemic state (HHS). Nevertheless, hyperglycemic crisis may also contribute to the development of rhabdomyolysis, which can worsen renal function and lead to high mortality in such patients. PATIENT CONCERNS:Herein, we report a case of hyperosmolar hyperglycemic state-related rhabdomyolysis and acute renal failure with an excellent outcome. DIAGNOSIS:A 26-year-old Asian female with underlying paranoid schizophrenia presented with newly diagnosed type 2 diabetes mellitus complicated with HHS. Her renal function deteriorated rapidly in spite of standard management for hyperglycemic crisis. Rhabdomyolysis was subsequently diagnosed according to the high levels of serum creatine kinase (CK) (37,710 U/L, normal range: 20-180 U/L) and myoglobin (5167.7 ng/mL, normal range: 14.3-65.8 ng/mL). INTERVENTIONS:After treatment failure of intravenous hydration plus loop diuretic agent for rhabdomyolysis related acute renal failure, temporary hemodialysis was performed 3 times to relieve oligouria and pulmonary edema. OUTCOMES:Her renal function recovered well after temporary renal replacement therapy. LESSONS:Rhabdomyolysis is a complication of HHS. Delayed detection can be fatal, and timely renal replacement therapy can result in an excellent prognosis. Therefore, it is crucial for clinicians to detect and treat such patients as early as possible to avoid impairing their renal function.
journal_name
Medicine (Baltimore)journal_title
Medicineauthors
Chen IW,Lin CWdoi
10.1097/MD.0000000000013647subject
Has Abstractpub_date
2018-12-01 00:00:00pages
e13647issue
50eissn
0025-7974issn
1536-5964pii
00005792-201812140-00099journal_volume
97pub_type
杂志文章相关文献
MEDICINE文献大全abstract:BACKGROUND:Silicone sheet is commonly used for scar management but hard to apply to irregular surfaces or mobile areas, and difficult to conceal. On the contrary, silicone gel is easy to apply and nearly unnoticeable. Therefore, we conducted this study to compare their effectiveness. METHODS:Patients undergoing horizo...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000011767
更新日期:2018-08-01 00:00:00
abstract:OBJECTIVES:Hepatoblastoma (HB) is the most common pediatric liver malignancy, typically affecting children within the first 4 years of life. However, only a few validated blood biomarkers are used in clinical evaluation. The current study explored the clinical application and significance of D-dimer levels in patients ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000008798
更新日期:2017-11-01 00:00:00
abstract::The aim of this study was to identify the risk factors associated with lymph nodes posterior to the right recurrent laryngeal nerve (LN-prRLN) metastasis in patients with papillary thyroid carcinoma (PTC).A total of 81 PTC patients who underwent total/near-total thyroidectomy with LN-prRLN dissection in the Department...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007908
更新日期:2017-09-01 00:00:00
abstract::Tools for evaluation of disease activity in patients with anti-neutrophil cytoplasmic antibodies (ANCA)-associated vasculitis (AAV) include scoring clinical manifestations, determination of biochemical parameters of inflammation, and obtaining tissue biopsies. These tools, however, are sometimes inconclusive. 2-deoxy-...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000000747
更新日期:2015-05-01 00:00:00
abstract:INTRODUCTION:Bardet-Biedl syndrome, which compromises airway management and the cardiovascular and renal systems, is a rare ciliopathic syndrome characterized by multisystem involvement and varying genetic etiologies and clinical manifestations. PATIENT CONCERNS:A 13-year-old female patient had a history of chronic re...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000022300
更新日期:2020-09-18 00:00:00
abstract:BACKGROUND:Since the COVID-19 outbreak in 2020, more than 20 million people worldwide have been diagnosed with COVID-19, and all health care workers are looking for ways to improve the cure rate of the disease. As an important method of rehabilitation therapy, exercise therapy has been proved to improve the level of hu...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023762
更新日期:2020-12-18 00:00:00
abstract:BACKGROUND:This study is to summarize the status of knowledge, attitudes, implementation, facilitators, and barriers of evidence-based practice (EBP) in community nurses (CNs). EBP has been widely adopted but the knowledge, attitudes, and implementation of EBP among CNs, and the facilitators and barriers they perceived...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017209
更新日期:2019-09-01 00:00:00
abstract:RATIONALE:The frequency of tooth avulsion is on the rise due to increasing rates of maxillofacial trauma. Avulsed teeth present with varying degrees of root resorption, and are generally asymptomatic; therefore, they often go undiagnosed. The etiopathogenesis of root resorption in replanted teeth following avulsion rem...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000018869
更新日期:2020-01-01 00:00:00
abstract::International collaboration is important in healthcare quality evaluation; however, few international comparisons of general surgery outcomes have been accomplished. Furthermore, predictive model application for risk stratification has not been internationally evaluated. The National Clinical Database (NCD) in Japan w...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000002194
更新日期:2015-12-01 00:00:00
abstract::Calcific tendinitis (CT) of the shoulder is a painful disorder usually identified in individuals aged 40 and 60 years. The estimated global prevalence of CT is 2.7% to 36%. We examined the association of hyperlipidemia and sex with CT of the shoulder using Taiwan Biobank (TWB) and the National Health Insurance Researc...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023299
更新日期:2020-11-13 00:00:00
abstract::Blood pressure (BP) control is the most established practice for preventing the progression and complications of chronic kidney disease (CKD). We examined the influence of BP patterns on target organ damage in hypertensive patients with CKD by using long-term follow-up data of the APrODiTe-2 study.We collected 5 years...
journal_title:Medicine
pub_type: 杂志文章,多中心研究
doi:10.1097/MD.0000000000019209
更新日期:2020-02-01 00:00:00
abstract::Intra-abdominal infection (IAI) after hepatectomy is an important morbidity. Identification of risk factors that could be avoided in the perioperative period may reduce the prevalence of IAI after hepatectomy for hepatocelluar carcinoma (HCC).Between January 1995 and December 2009, all patients with HCC who underwent ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000006795
更新日期:2017-04-01 00:00:00
abstract::Two patients with plasma cell dyscrasias, manifested by osteosclerotic bone lesions and small amounts of M protein, and a complicating multi-system disorder are described. Their features of severe sensory-motor polyneuropathy, organomegaly, endocrine dysfunction, anasarca, elevated CSF protein, and skin hyperpigmentat...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/00005792-198007000-00006
更新日期:1980-07-01 00:00:00
abstract::To date, because of their rarity, the clinicopathological features and surgical outcomes of small bowel adenocarcinomas (SBAs) have been insufficiently explored. We evaluated the clinicopathological features and long-term outcomes of patients who underwent surgery for SBA.This retrospective study (from 1999 to 2016) e...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000007713
更新日期:2017-08-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000002241.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/01.md.0000479433.86506.88
更新日期:2016-01-08 00:00:00
abstract:BACKGROUND:There is a considerable amount of literature on the potential relationship between human leukocyte antigen-G 14-bp Ins/Del polymorphism and virus infection; however, results from these studies were inconclusive. OBJECTIVES:A meta-analysis was carried out to determine whether the 14-bp Ins/Del polymorphism i...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000012262
更新日期:2018-09-01 00:00:00
abstract::Human bladder cancer (BCa) is one of the most commonly diagnosed malignancies worldwide. It has high recurrence rates and low-grade malignancy, thus representing an important public health concern. An increasing number of studies suggest that long-noncoding RNAs (lncRNAs) play important roles in various biological pro...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011887
更新日期:2018-08-01 00:00:00
abstract:BACKGROUND:Uterine fibroids represent the most common gynecological benign tumors in reproductive females. Acupuncture has been applied as a therapeutic modality in China to treat uterine fibroids. However, currently, few critical systematic reviews regarding the effect of acupuncture on uterine fibroids have been publ...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000014631
更新日期:2019-02-01 00:00:00
abstract:INTRODUCTION:Obesity represents a risk factor in case of major hepatectomy, because the future liver remnant (FLR) must be proportional with body weight. To avoid post-hepatectomy liver failure, and further increase the ratio between FLR and body weight, we performed a bariatric procedure in the first stage of the ALPP...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000020748
更新日期:2020-08-21 00:00:00
abstract::A significant characteristic of advanced gastric cancer (GC) is immune suppression, which can promote the progression of GC. Interleukin 35 (IL-35) is an immune-suppressing cytokine, and it is generally recognized that this cytokine is secreted by regulatory T (Treg) cells. Recently, studies have found that IL-35 can ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000010710
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND:This randomized controlled trial (RCT) aimed to compare the clinical outcomes of thoracolumbar burst fractures (TLBFs) treated with open reduction and internal fixation via the posterior paraspinal muscle approach (PPMA) and the post-middle approach (PA). METHODS:Patients with a traumatic single-level TLBFs...
journal_title:Medicine
pub_type: 杂志文章,随机对照试验
doi:10.1097/MD.0000000000011193
更新日期:2018-06-01 00:00:00
abstract::[An uncorrected version of "Comparative Effectiveness of Different Oral Antibiotics Regimens for Treatment of Urinary Tract Infection in Outpatients: An Analysis of National Representative Claims Database" was originally posted in Volume 93, Issue 28 of Medicine. The article has since been corrected and reposted in th...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/01.md.0000460804.00343.a0
更新日期:2015-01-01 00:00:00
abstract:RATIONALE:Arterial injuries during total knee arthroplasty (TKA) though rare may occur. Hemophilia may further challenge the management of such injury. PATIENT CONCERNS:A 48-year-old male patient with severe hemophilia type A and stiff knee arthropathy underwent bilateral TKAs. Left popliteal artery injury was detecte...
journal_title:Medicine
pub_type: 杂志文章,评审
doi:10.1097/MD.0000000000008791
更新日期:2017-11-01 00:00:00
abstract:INTRODUCTION:Intrapancreatic accessory spleen (IPAS) has been rarely noted radiologically because the spatial resolution of conventional images was low. The infrequent presence of the accessory spleen in the pancreatic tissue could lead to inappropriate diagnosis, thereby necessitating a therapeutic approach. The prese...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000016488
更新日期:2019-08-01 00:00:00
abstract::Research and management of XLH have concentrated on the disease in childhood, and the natural history and morbidity of XLH in adult life are thus poorly understood. We have studied 22 adults (6 men) with XLH to clarify these aspects of this most common inherited form of rickets and osteomalacia. Most study participant...
journal_title:Medicine
pub_type: 杂志文章
doi:
更新日期:1989-11-01 00:00:00
abstract::We aimed to evaluate the prognostic value of clinical and pathologic factors in rectal squamous cell carcinomas (SCC) and to construct a nomogram for their outcome prediction.The study cohort was selected from Surveillance, Epidemiology, and End Results (SEER) program between January 2004 and December 2013. Univariate...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000017916
更新日期:2019-11-01 00:00:00
abstract::[This corrects the article DOI: 10.1097/MD.0000000000004392.]. ...
journal_title:Medicine
pub_type: 已发布勘误
doi:10.1097/01.md.0000505544.39976.a7
更新日期:2016-10-21 00:00:00
abstract:RATIONALE:The duplex ureter is a common anomaly of urinary tract, but preoperative sonography, plain abdominal radiography, or nonenhanced computed tomography (CT) often overlooked it when involved with urinary tract obstruction. In this report, We present a rare case of left Y-shaped bifid ureter and both ureter of up...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000011474
更新日期:2018-07-01 00:00:00
abstract:BACKGROUND:Tuberculosis (TB) is the leading cause of health complications and death among human with immunodeficiency virus (HIV) infection. When TB develops during pregnancy or the early postpartum period, it is associated with negative maternal, pregnancy, and fetus and infant outcome, including premature birth, low ...
journal_title:Medicine
pub_type: 杂志文章
doi:10.1097/MD.0000000000023089
更新日期:2020-11-20 00:00:00
abstract:BACKGROUND:100 mg rectal nonsteroidal anti-inflammatory drugs (NSAIDs) and pancreatic stents both significantly reduce the incidence of post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis. Direct comparison of randomized controlled trials (RCTs) between them in high-risk patients is absent. We condu...
journal_title:Medicine
pub_type: 杂志文章,meta分析
doi:10.1097/MD.0000000000022672
更新日期:2020-10-16 00:00:00