Seltene Differenzialdiagnose einer akuten Nierenschädigung – Fall 09/2009
P Seizer, B Prayon, E Gröne, K Müssig · DMW - Deutsche Medizinische Wochenschrift · 2009 · Heft 44 · S. 2231
Bibliografische Angaben
Zusammenfassung
Summary HISTORY AND ADMISSION FINDINGS: A 44-year-old male and his 40-year-old wife, both previously in good health, were admitted for abdominal pain, diarrhea, vomiting, severe headache, and oliguria after ingestion of wild mushrooms two weeks earlier. Physical examination revealed costo-vertebral-angular tenderness in the husband and abdominal tenderness in both patients. INVESTIGATIONS: Laboratory showed acute renal injury with markedly increased serum concentrations of creatinine and urea. On abdominal ultrasound, the kidneys were slightly increased in size with echogenic parenchyma and prominent medullary p…