- Furosemide induced medullary nephrocalcinosis mimicking Bartter syndrome.
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Sohee Kim, Chanhee Kyung, Yong Hoon Kim, Jang Ho Cho, Changhyeok Hwang, Jung Eun Lee
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Yeungnam Univ J Med. 2014;31(1):21-24. Published online June 30, 2014
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DOI: https://doi.org/10.12701/yujm.2014.31.1.21
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- Clinical presentation of Bartter syndrome is similar to surrepitious vomiting or use of diuretics. Therefore, precise differential diagnosis of Bartter syndrome is crucial. We report a case of medullary nephrocalcinosis (MNC) induced by furosemide mimicking Bartter syndrome. A 55-year-old female patient visited our hospital with renal dysfunction on basis of hypokalemia and metabolic alkalosis. She had no history of hypertension or drug use except allopurinol and atorvastatin. She did not complain of nausea or vomiting on presentation and the serum magnesium level was normal. We performed ultrasonography, that showed MNC. For these reasons, we suspected Bartter syndrome and corrected the electrolyte imbalance. During outpatient follow up, we found that the patient had been taking 400 mg of furosemide daily for 30 years. We could diagnose furosemide induced MNC, and recommended to her to reduce the amount of furosemide.
- A Case of Continuous Ambulatory Peritonitis Dialysis Peritonitis Due to Stenotrophomonas maltophilia Using Antibiotic Combination.
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Hee Sung Ko, Ah Ran Choi, Tae Hoon Kim, Chan Hee Kyung, Jang Ho Cho, Yong Hoon Kim, Jung Eun Lee
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Yeungnam Univ J Med. 2013;30(2):109-111. Published online December 31, 2013
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DOI: https://doi.org/10.12701/yujm.2013.30.2.109
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- Continuous ambulatory peritoneal dialysis (CAPD) peritonitis is a major complication of peritoneal dialysis (PD) and leads to the discontinuation of PD. Despite its limited pathogenicity, CAPD peritonitis caused by Stenotrophomonas maltophilia (S. maltophilia), an important nosocomial pathogen that is present in nature and is usually associated with plastic indwelling devices. Infection of S. maltophilia is associated with a poor prognosis, including inability to maintain the CAPD catheter, because of its resistance to multiple antibiotics. We report a case of CAPD peritonitis due to S. maltophilia that was treated successfully using oral Trimethoprim-sulfame-thoxazole and intraperitoneal Ticarcillin/clavulanate without removing the dialysis catheter.
- A Case of Basal Cell Carcinoma in a Patient with Membranous Glomerulonephritis.
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Chan Hee Kyung, So Hee Kim, Beom Jin Lim, Hee Sung Ko, Hee Jin Park, Hae Won Kim, Dong Ha Park, Jung Eun Lee
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Yeungnam Univ J Med. 2012;29(2):141-144. Published online December 31, 2012
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DOI: https://doi.org/10.12701/yujm.2012.29.2.141
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- Membranous glomerulonephritis can manifest as a paraneoplastic syndrome. The presence of evidence that supports the relationship between malignancy and membranous glomerulonephritis remains unresolved, though. Membranous glomerulonephritis has been commonly reported as associated with solid or hematologic malignancy, such as lung cancer, prostate cancer, and gastro-intestinal cancer, but its concomitant existence with skin cancer is rare. This paper reports a case of membranous glomerulonephritis combined with basal cell carcinoma that was successfully treated with the excision of the basal skin cell carcinoma.
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Yeungnam University College of Medicine
