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Nephrol Dial Transplant (2001) 16: 2265-2266
© 2001 European Renal Association-European Dialysis and Transplant Association

Nephroquiz for the Beginner

Acute renal failure after bacteraemia and endocarditis

(Section Editor: M. G. Zeier)

Diana Carretero, Isabel Pérez-Flores, Soledad Garcia de Vinuesa, José Luño and Fernando Valderrábano

Service of Nephrology Hospital General Universitario Gregorio Marañón Madrid Spain

Case

A 68-year-old woman, with a history of arterial hypertension, atrial fibrillation, and chronic liver disease due to HCV was hospitalized for bacteraemia and mechanical prosthetic mitral valve endocarditis associated with methicillin- sensitive Staphylococcus aureus. She received antimicrobial therapy (cloxacillin, 6 g/day and rifampicin 300 mg/day for 6 weeks; gentamicin, 1 mg/kg/day for 2 weeks).

Subsequently, the patient developed oligoanuric acute renal failure (ARF) (creatinine 4.2 mg/dl; proteinuria <1 g/day and microscopic haematuria), associated . . . [Full Text of this Article]

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