A CASE OF SEVERE HEPATITIS A COMPLICATED BY ACUTE KIDNEY INJURY
Abstract
Hepatitis A is an acute viral disease with fecal-oral mechanism of agent transmission, which is characterized by cyclic benign course and primary liver involvement. It is well known that in majority of cases hepatitis A is characterized by benign course without complications and by favorable prognosis. According to literature data kidney injury during this disease is developed very rarely; the morphologic base of these disorders may be acute tubular necrosis, mesangial-proliferative glomerulonephritis, and interstitial nephritis.The article presents the case of severe viral hepatitis A with the development of AKIN stage 3 / RIFLE class F acute kidney injury, hepatic encephalopathy and acute respiratory distress syndrome. After active conservative treatment without hemodialysis the clinical improvement was registered.
About the Authors
K. M. Manakhov
ФГБОУ ВО «Ижевская государственная медицинская академия» Минздрава России
Россия
Россия
M. V. Dudarev
ФГБОУ ВО «Ижевская государственная медицинская академия» Минздрава России
Россия
Россия
D. S. Sarksyan
ФГБОУ ВО «Ижевская государственная медицинская академия» Минздрава России
Россия
Россия
D. A. Valishin
ФГБОУ ВО «Башкирский государственный медицинский университет» Минздрава России
Россия
Россия
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Review
For citations:
Manakhov K.M., Dudarev M.V., Sarksyan D.S., Valishin D.A. A CASE OF SEVERE HEPATITIS A COMPLICATED BY ACUTE KIDNEY INJURY. Bashkortostan Medical Journal. 2017;12(6):93-96. (In Russ.)
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