A case of acute renal failure requiring emergency hemodialysis due to hypothermia-associated rhabdomyolysis

Abstract

Hypothermia is described as a decrease in body temperature below 35 °C. Although the body reacts neuroendocrinally, behaviourally, and cardiovascularly against sudden changes in temperature, uncontrolled hypothermia can lead to severe complications such as rhabdomyolysis, acute renal failure, coma, coagulopathy, malignant cardiac arrhythmia, and cardiac collapse. Herein, we aimed to emphasize hypothermia, its serious complications such as rhabdomyolysis and related acute kidney injury in a 60-year-old male patient exposed to environmental cold.

Keywords

• Emergency
• hemodialysis
• hypothermia
• rhabdomyolysis
• renal failure

Hipotermi ilişkili rabdomiyoliz nedeniyle acil hemodiyaliz ihtiyacı gelişen akut böbrek yetmezliği olgusu

Öz

Hipotermi vücut iç sıcaklığının 35 °C’nin altına düşmesi olarak tanımlanmaktadır. Çevredeki ani ısı değişimlerine karşı vücut nöroendokrinal, davranışsal ve kardiovasküler olarak tepki göstermekle birlikte kontrol altına alınamayan hipotermi rabdomiyoliz, akut böbrek yetmezliği, koma, koagülopati, malign kardiyak aritmi, kardiyak kollaps vb. ciddi komplikasyonlara neden olabilmektedir. Bu olgu sunumu ile soğuğa maruz kalan altmış yaşındaki erkek hastada gelişen hipotermi ve hipoterminin potansiyel komplikasyonlarına vurgu yapılmak istenmiştir.

Anahtar Kelimeler

• Acil
• Hemodiyaliz
• Hipotermi
• Rabdomiyoliz
• Böbrek yetmezliği

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