Case series- Acute gastroenteritis (age) induced acute kidney injury (AKI) in ICU
Supriyaa BB, Devasena Srinivasan, Prithvi Raj
Acute gastroenteritis is an important cause of preventable AKI. Inadequate or delayed restoration of diarrhoeal losses results in a very high incidence of AKI . Diarrheal illness is a major reason for hospitalization, but data on consequent acute kidney injury are sparse . Objec- tive of the study is to determine the incidence of AKI in infectious and non-infectious diarrheal ill- ness requiring hospitalization and to identify correlates and outcomes of diarrhea-associated AKI. Noneof the patients had any organism isolated in stool, probably due to prompt initiation of antibi- otics /inadequate culture growth. 3 out of our 6 cases did not require HD and AKI resolved on conservative management alone (fluids, electrolyte management and antibiotics). 3 out of 6 cases had a non-resolving AKI and were dependant on renal replacement therapy (RRT) even at one month post discharge as they still remained oliguric. One recent paper has reported recovery of renal function after a period of dialysis . Frequent electrolyte abnormalities, risk of (catheter related/ bloodstream) infections, and severity of the primary disease are the chief reasons for the persistently high morbidity. Although, there was no mortality in our study.