The Intrinsic Relationship Between Malaria and the Kidneys

NKF 2017 Spring Clinical Meetings Abstracts 1528 Steroid Combined Induced CT and Scleroderma Fluoroscopy Renal Guided Crisis Percutaneous Trans261 peritoneal Jaros, Nephrostomy Tube Insertion and Subsequent Antonin Christos Argyropoulos, Kamran Shaffi, A CASE OF FALSELY LOW SERUM BICARBONATE Nephrolithotomy in a Patient withUniversity Left Ectopic Pelvic Kidney Rawan Al-Odat, Edgar Fischer. of New Mexico, SECONDARY TO HYPERTRIGLYERIDEMIA: Ekamjeet 2 Albuquerque, Ishtiaq 1,Ahmed, Ebadur USA 1Rahman, Tarek1, Harold Zahrani. Randhawa PayamNM, Pourhassani , Swaiman Singh SteinPrince , 1 Drexel University College of Medicine, Philadelphia, PA, USA; Sultan Military Medical City, Riyadh, Saudi Arabia 154 2 Acute Renal Failure from Supplement Induced Bile Cast Memorial Hospital, Abington, PA, USA 10 Abington Hemorrhagic Shock with and Hemoperitoneum as a Fatal ManiSucessfully Treated Apheresis Serum bicarbonate (HCO3) levels are often looked at during initial festation ofJohnson, Granulomatosis with Polyangiitis Carolinetesting Kinard, Jill laboratory and can Theresa be the first indication of anAdamski, acid-base Mira disturbance. There been a Jain, limitedSouheil number Saddekni. of AZ, case reports Emad AlMayo Jaber,have Gaurav University Keddis. Clinic Hospital, Phoenix, USA a basic metabolic panel regarding irregularities in HCO 3 collected onAL, of Alabama Hospital, Birmingham, USA 156 (BMP) Non-HCV Cryoglobulinemic MPGN with interference Cold Agglutinin indicating an acidosis that were due to assay from 13 high A Rare Case of ANCA Vasculitis in high a Patient – Association Cause? Hemolytic Anemia triglyceride levels. Here weAssociated describe or such a case where with Systemic Sclerosis triglyceride causedRahim significant interference with our chemistry Ghassan levels Kabbach, Dhanani, Israel Kasago, George assay to giveVivek an falsely low Rafia serum 3 value. Sadeem Ali, Austin Rice,HCO Romualdo Talento, Monrroy, Nauman Soryal, Bose, Chaudhry, Mauricio Our patient was a 60 year-old-male with a history of type-2-diabetes Shahid. Carolina University and College, Vidant Medical Foulke L,East Hongalgi K. Albany Medical Albany, mellitus, hyperlipidemia, hypertension, and CHF who presented with a Center, Greenville, NC, USA NY, USA one day history of shortness of breath and fatigue, associated with 14 tachypnea, Atypical Hemolytic Uremic Syndrome Present non-exertional substernal tightness,Can palpitations and as 159 Zero Tolerance on Anion Gapchest Malignant Hypertension and Renal Dysfunction nausea. Home medications included fenofibrate 145mg daily and Sathish Karmegam, Roberto Collazo-Maldonado. Methodist simvastatin 40mg Physical examination revealed normal vital El Shehzad Ali, daily. Farhang Ebrahimi, Azmir, Health System, Dallas, TX, USA Mohammad signs and bibasilar respiratory crackles. Initial Center, labs wereStaten remarkable Saadi. Richmond University Medical Island, 160 for:Aldosteronism in Polycystic Disease: Hypertension <5 mEq/L with an anion gap of sodium 127 mEq/L, BMP HCO3Kidney NY, USA Plain Sight 20,Hiding glucosein 327 mg/dL, pH 7.397 and ABG HCO3 of 22 mEq/L. Based 20 onAn Cause that of Cast Nephropathy this,Unusual it was presumed the patient hadLynch a mixedBailey, anion-gapFrederic and Chandrashekar Kashyap, James 1 1 2 1 non-gap metabolic with a concomitant respiratory acidosis. ,Emory Faisal Anwar , Nada BaderGA, . University Rawan Al-Odatacidosis, Rahbari-Oskoui. University, Atlanta, USA BMP was checked threeAlbuquerque, additional timesNM, on alternative andof University of New Mexico, USA; 2machines 161 ABG Recognition ofon Reverse Pseudohyperkalemia was repeated a separate machine, with unchanged values. A Missouri, Kansas City, MO, USA Siddhartha Joshua L.centrifugation Rein, Joseph triglyceride (TG)Kattamanchi, level was obtained after ultra of the A. 21 Granulomatous Nephrotic Syndrome Secondary to Vassalotti. IcahnwasSchool of Medicine Mount Sinai, New lipid sample, which 3751 mg/dL. A repeat at BMP was obtained Sarcoidosis again afterNY, sample ultra-centrifugation, with a repeat HCO3 of 18 York, USA Omer Alrawi, Walid Ibrahim, Nehal Altaie, Nashat Imran, mEq/L. 164 High Anion Gap Metabolic Acidosis Due to 5- Oxoproline Yahya Osman Malik.Wayne State TGUniversity, This represents a significantly elevated level causing Detroit assay withcase Low Dose Acetaminophen interference, resultingDetroit, in a “pseudohypobicarbonatemia”. Indeed, it was Medical Center, MI, USA Sobia N Khan, Arun Kottarathara, Opeyemi chemistry machines had onlySynrome been Oladele, verified 23 later A determined Rare Casethatofthese Spontenous Tumor Lysis in a Mallipattu, Nand K Wadhwa. Stony Brook upSandeep to a TG level of 2000 mg/dL. Patient with Poor-Risk Germ Cell Cancer Medicine, Stony Brook, NY, USA Mohammed Alzubaidi1, Bhavna Bhasin2. 1Medical Univer165 Thrombotic Thrombocytpopenic Purpura in a Patient with sity of South Carolina, Charleston, SC, USA; 2Medical Goodpasture’s Disease: An Uncommon Association 262College of Wisconsin, Milwaukee, WI, USA Aakanksha Nicholas Tan, Matthew R D’Costa, INTRINSICKhanna, MALARIA 24THE Type B LacticRELATIONSHIP Acidosis Due BETWEEN to Dialysis-Induced Thiamine Sandra Herrmann. Mayo Clinic, Rochester, MN, USA AND THE M KIDNEYS Deficiency in a Patient with Seminoma Neil Rangwani, Sideris Facaros, Shanu Agarwal, Tushar 167 An Unusual Case of Proteinuria with Rapidly Progressive Chaturvedi, Bradley Moore, Novak, Rupesh Raina,of Colorado Brigani Amante, Isaac Robert Teitelbaum. University RenalZidehsarai, Failure Akron City Hospital, Akron, Ohio, USA Miriam Hospital, Aurora, CO, USA Ravkiran Khurana, Tushar Andrew Malaria is rarely found in the US withThakur, few reports describingHerman, 25theAutosomal Dominant Polycystic Kidney Disease Presenting relationship between malarial infections and severe kidney Rupesh Raina, Natthavat Tanphaichitr. Cleveland Clinic as a Spontaneous Acute Blood Loss Anemia dysfunction that require long-term (HD). and HemorAkron General Akron, OH, hemodialysis USA rhagic ShockAfrican American woman who recently A 53-year-old 171returned Prolonged Ketoacidosis Associated with Inhibition: from Sierra Leone, Africa presented withSGLT-2 dizziness, Ahmad Anjak, K. Gaitonde, A. Malhotra, C.V. Thakar. A Case nausea, and Report extreme fatigue. She felt progressively worse over Cincinnati VAwith Medical Center, OH, USA a period of aKohli, week increased thirst Cincinnati, andHospital decreasedof urine Jatinder Stanley Goldfarb. University of 29output. Hypoaldosteronism Presenting with Renal Salt Wasting No previous medical history or surgeries before this Pennsylvania, Philadelphia, PA, USA presentation. InitialAbsence labs showed elevated BUN andHypercholremic Disease and ofanHyperkalemic 173creatinine, An “Atypical” Case throughout of Exit Site Infection which increased her hospital stay in Peritoneal Acidosis despite intravenous fluid resuscitation. Lab work was Dialysis Huda Arif, David Leehey. Loyola She University Medical significant for anemia among other aberrations. was Abhilash Koratala, Volodymyr Chornyy, Amir Kazory. Centre, Chicago, IL, coherent at presentation butUSA became steadily confused and University ofcoinciding Florida, Gainesville, USA with Alkalosis worseningFL, kidney 32encephalopathic, Hypokalemic Metabolic and function. Hypertension in urine exam revealed nephrotic and 175HerBlacks Severe Acute Kidney Injuryrange fromproteinuria TURP-Associated Heme physical exam was pertinent for generalized jaundice, scleral Pigment Nephropathy 1 1 1 , Huzaif Qaisar , Vikas Singh Mayur K. Patel1, Arif and Asifmildly icterus, distended abdomen with RUQ ,tenderness. 1 Anubhav Behdad Besharatian, With her Sharma travelKumar, history, physical exam, and1,pertinent lab , Suhsil Mehandru AwaisSidney Masud1Kobrin, , Loay Indu 1 Matthew Jonathan Hogan. University of Pennsylfindings, a 2peripheral showed P. falciparum withCenter, Salman . Palmer, Jerseysmear Shore University Medical Seton significant parasitemia andPA, she USA was diagnosed with a severe vania, Philadelphia, Hall-Hackensack-Meridian School of Medicine, Neptune, infection. She required a temporary vascular catheter 2 178malarial A Rare of Macrophage Activating Syndrome with Albany Medical with College, NY, NJ, USA;Case (VC) placement and HD initiation uremicAlbany, symptoms andUSA Renal Failure acute kidney injury. A renal biopsy demonstratedFollow of 33worsening Ischemic Monomelic Neuropathy: A Long-Term podocytopathy consistent with minimal change A Franklin Katherine Wang, Rafiadisease. Chaudhry, Krishna 2 PatientsLam, Without Fistula Ligation permanent VC1 Swati was placed due to renal function andAlbany, 1 worsening 1 Hongalgi, Mehta. Albany Medical College, , Vikas Singh , Huzaif Quaisar , Nina Jube2, Arif Asif theNY, patient was discharged on outpatient HD once the infection 1 1 1 USA Mayur Indu Sharma , Suhsil Mehandru , Awais was treatedK. andPatel other ,abnormalities normalized. 1 Case of Fibrillary 2 1 180 This A Rare Glomerulonephritis case,demonstrates how.P. Jersey falciparum has aUniversity molecularPresenting Loay Salman Shore Medical Masud with Hemoptysis mimicry of podocytes causing an antigen antibody reaction, Center, Seton Hall-Hackensack-Meridian School of Medi2 emphasizing the importance of quickly identifying aCollege, P. JamesAlbany, cine, Neptune, NJ, USA; Albany Medical Swathi Lavudi, Chris Webster, Saleha Rizwan, Reilly, falciparum malarial infection because of the devastating NY, USA Tina Ko. Allegheny Health Network, Pittsburgh, PA, USA effects it can have on the kidneys. A2 A4 A82

37 Amyloidosis Treatment of Presenting Intracardiacwith Mycetoma a Post Renal 181 Nephroticin Syndrome and Transplant Patient of Systemic Nocardiosis with the ComVentricular Hypertrophy REVERSAL OF ACUTE KIDNEY INJURY AFTER bination Imipenem and Trimethoprim-Sulfamethoxazol Terry Le,ofVittal Chundru, Louisiana State ENDOVASCULAR REPAIR OFPhani ILIACMorisetti. ARTERIO-VENOUS University Health Sciences Center, Shreveport, LA, USA Ashraf Tanvi Attia, Rege, EbadurNomsa Rahman, Muddassar Mahboob; Prince FISTULA: Musemwa, Avrum Gillespie, Sultan City, Riyadh, SaudiSyndrome Arabia Duncan B. Military Johnstone, Joseph Benjamin, Temple University,and 182 Preeclampsia inMedical Association with Mirror Philadelphia, PA,Hydrops USA. Polyuria Nonimmune Fetalis Associated with Hypertonic 40 Desalination and Vascular causes of acute in kidney injury(AKI) are often under SalineL. andLeddy, Vasopressin 3 Hypervolemic Children Julia Rajesh Govindasamy, Jamie A. Green. diagnosed. Here we present an unusual case of AKI secondary Geisinger Medical Center, Danville, PA, USA Scott Baird. arterio-venous Columbia University to aJohn central circulation fistula. College of PhysiNew York, NY, USA 190 78cians Pancreatic Adenocarcinoma Mimicking Granulomatous year & oldSurgeons, male presented with bilateral pedal edema, with dyspnea on exertion acute on chronic kidney injury. Patient Polyangitis 43 A Unique Case ofand Renal Failure in a Patient with Hepatitis C hadSadichhya a prior admission to our hospital withSami shortness of breath Lohani, Christopher Iuliana Niculescu, Zarouk. William Krishna Baradhi, Girgis. University of Oklaand edema when he was diagnosed with congestive heart failure Beaumont Hospital, Royal Oak, MI, USA homa, OK, USA (CHF) andTulsa, discharged on diuretics. Patient’s creatinine on 193 Irrelevant ANCA Negative Pauci Immune of Crescentic GNinina 44 ‘Calcinosis Cutis’: A Marker of Systemic Calcification admission was 4mg/dl from a stable baseline 1.4-1.6mg/dl Man with Rheumatoid Arthritis fluids did not help. He was withaDialysis oliguria. Initial trial of intravenous Patient thenDipesh startedMaan, on high dose diuretics for his symptoms but Mark Bunker, Mary Chester Wasko, Krishna Baradhi, Christopher Girgis. University ofBarbara Oklademonstrated a poor General responseHospital, with rapid rise in creatinine to a Clark. Allegheny Pittsburgh, PA, USA homa, Tulsa, OK, USA peak of 10.2mg/dl. Urine sediment was bland with many hyaline 199 Refractory in ina a Patient with Fungating 45 Spontaneous Renal Infarction Middle Female on casts and urine Hyponatremia sodium was < 22mmol/l. RenalAged ultrasound Metastatic Melanoma Oral Contraceptives (OCs) incidentally showed left iliac aneurysm measuring 7cm * 6.4cm. Dialysis was initiated then Krishna underwent a Nnamdi preoperative CT of Rui Mao, Thao Chamberlain PandTran, Baradhi. University Khalid Bashir, Obialo, Nwaohiri. angiogram of the aneurysm, which revealed a fistulous Oklahoma, School of Community Medicine, Tulsa, OK, Morehouse School of Medicine, Atlanta, GA, USA communication between left common iliac artery and left USA 46 Colorful Drug Relatedendovascular Urine Pigmentation in to common iliac Surprises: vein. Patient underwent procedure 201 Low on close ‘Lytes: Proteinuria Outpatient Clinic, aRare CaseEtiology Series forsurgery functionally theAfistula. Following his urine output increased marked Elie improvement in his symptoms. His Kirea Mazzolini, Samaya Qureshi, Sheryl Jaime with Baynes-Fields, Al Saber, Jonathan Lee,CHF Poorvanshi Alag, acute kidney injury resolved and creatinine returned baseline. Caberto, Rajeev Raghavan. Baylor College of to Medicine, Irfan Ahmed, Sandeep Aggarwal. Drexel University College We thatPhiladelphia, the arterio-venous fistula provoked the AKI. Houston, TX, USA of believe Medicine, PA, USA Few case reports exist, mainly in the vascular surgery literature, 204 Paradoxical Nephritis in aortocaval a Patient with Crohn 48 Atypical HUSInterstitial in a Patient with Inflammatory Bowel Disease regarding central fistulas, predominantly presenting Disease as acute kidney TheZarrabi, mechanism is unclear is Baer, Kelly Beers,injury. Kevin Yezina Nigatu,butLea proposed hypoperfusion venous hypertension. In our Chaitanya Mishra, Maria Thomas, Dominick Santoriello, Wilfredto be Lieberthal. StonyJ.and Brook Medical Center, Stony case, lowZanger, urine blandS.urine sediment and immediate Ron Lawrence Weisberg. Cooper University Brook, NY, sodium, USA recovery afterCamden, the surgery favors fistula as Hospital, NJ, USA arterio-venous 49 P-ANCA Immune Complex Glomerulonephritis etiology of his Positive kidney injury. 209 Role of Dialysis in Acute Toxic Encephalopathy Secondary Associated with Levamisole Use to Hyperammonemia Kelly Beers, Arun Kottarathara, Wilfred Lieberthal, Rajeev 264 SCLERODERMA RENAL CRISIS- RARE PRESENTATION IN Gayatri Rebecca Sevag Demirjian. The Rohatgi. Nair, Northport VA Blonsky, Medical Center, Northport, NY, MIXED CONNECTIVE TISSUE DISEASE: Tanvi Rege, Nomsa Cleveland Clinic Foundation, Cleveland, OH, USA USA Musemwa, Iris J. Lee, Duncan B. Johnstone, Avrum Gillespie, 212 Massive Pneumoperitoneum Patient On CCPD,ofTreated 52 Granulomatous Prostatitis asina aRare Presentation GranXu Zeng, Temple University, Philadelphia, PA, USA. with CT Guided Needle(SRC) Aspiration ulomatosis with Polyangiitis Scleroderma Renal Crisis classically presents in 1 1 1 Charles Neustein, Patricia Kachur, patients withBilal diffuse systemic sclerosis. WeIzuchukwu present rareNwakoby. case of , Rafia Chaudhry , Richard Blinkhorn , Loay Anum 1 1,2 1 Health, Ocala, FL, USA SRCOcala as a complication in Mixed Connective Tissue Disease Salman , Elvira Gosmanova . Albany Medical College, 2 (MCTD). 213 Relapse of IgA Nephropathy Following an Episode of Albany, NY, USA; Albany Stratton VA Medical Center, Our 41 year old African Rhabdomyolysis Albany, NY, USA American patient was discharged from another with diagnosis of unclear condition Thu-Cuc Izuchukwu Nwakoby. University of 53 Skinhospital Rash:Nguyen, A Rare Presentation of autoimmune Post-Transplant LymafterCentral presenting with weakness, rash, myalgia, and Florida/Ocala Health, Ocala, FL, hypertension USA phoproloferative Disorder dyspnea. Lab studies showed high creatinine kinase, elevated 214 Fibrillary Glomerulopathy and Renal Cell Homan, Cancer inSungeun a Situs Anum Bilal, Llewellyn Foulke, Suzanne troponin. Imaging revealed pericardial effusion and reticular Inversus Totalis Patient Kim, David Conti, Loay Salman, Rafia Chaudhry. Albany nodular pattern in the lungs. She was initiated on high dose Medical Nikolaenko, Center, Albany, NY, USA Dmitri Fraer.myocarditis University steroids with a diagnosis of Mony autoimmune andof Iowa Hospital andThe Clinics, Iowa City, IA, USA 54 It Runs in Family: Afollow Caseup. ofTo Hyperkalemic Periodic discharged with rheumatology us she reported Paralysis – steroid An taper Unfriendly 215 Staphylococcus Pseudintermedius continued weakness despite completion of her and Companion Blonsky, Georges Nakhoul. The Cleveland was Rebecca hypertensive. Serological work on admission revealed Clinic Foundation, OH, Fernandes, USA positive RNPNikolaenko, withCleveland other serological work up being Dmitri Shaun Dileknegative. Ince, M. Lee Steroids wereUniversity reinitiated for diagnosis of MCTD with myositis.First Sanders. of Iowa, Iowa IA, USA – City, Related Peritonitis: 55 Peritoneal Dialysis and Pet BITE Urinalysis showed with Reported Casesubnephrotic ofDisease Rhizobium Infection 218 Minimal Change inproteinuria a Radiobacter Patient and withhematuria, Systemic from Lupusa few granular theReport rise in creatinine from baseline of Cat Bite casts. Given Erythematosus: A Case 1.38mg/dl to a peak of 6.62 mg/dl, a renal biopsy was performed Benjamin Bluen, Lukasz Hans Schlecht, Michelle Odianosen Obadan, RulaKiljanek, Abdulrahman, Jose Pace, Rajbir which showed mucoid intimal hyperplasia and pin point arterial Fuentes, Saint Kyle Krevolin, Larry Krevolin. Drexel University Chopra. John’s Episcopal Hospital, Far Rockaway, lumen consistent with SRC. ACE inhibitors were started with College of Medicine, Philadelphia, PA, USA NY, USA partial recovery and stabilization of renal function. 56SRC Anti-Thymocyte Globulin Induced Acute Kidney 220 Blood Pressure Control After Removal ofinvolvement RenininInjury Secreting is an infrequent presentation of kidney in in a Patient withKidney Aplastic Atrophied mixed connective disease. Anemia Association with recent treatment with Chandrashekar Bohra, Verma, Claude Bassil. Eshetu Obole,has Robin Shah, Jason Prosek. OhioUniverState high-dose steroids beenSean reported, similar to our case. ACE sity ofare South Florida, Tampa,Center, FL, USA inhibitors strongly recommended even in the setting of acute University Wexner Medical Columbus, OH, USA rise A in creatinine toNonfatal prevent progression of renalwith failure. 57 Immune Complex Glomerulonephritis Persistently – A Case 221 Severe but Case of Hypermagnesemia Negative ANA Assay Report

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Am J Kidney Dis. 2017;69(4):A1-A105