Days Of Anuria Research Articles

Renocortical Necrosis

IN PATIENTS with acute renal failure, recovery may be delayed1,2and has occurred as late as 28 to 34 days.3-6Persistence of oliguria or anuria beyond that time carries a grave prognosis. Nevertheless, the survival of patients after prolonged periods of oliguria7suggests that the outlook is not invariably hopeless and that late return of some renal function may unexpectedly occur. It is therefore pertinent to report a patient with renocortical necrosis who made a partial recovery after being maintained by peritoneal dialysis during a period of 49 days of anuria and oliguria. Serial biopsies were a poor guide to prognosis in this case. Report of a Case A 26-year-old housewife was admitted to the Presbyterial-St. Luke's Hospital on Feb 7, 1966, in the sixth month of her fourth pregnancy. A diagnosis of preeclampsia was made during previous pregnancies and elevation of the blood pressure was noted

RECOVERY FROM ACUTE RENAL FAILURE AFTER 23 DAYS OF ANURIA.

PROLONGED SURVIVAL of human beings without significant renal function has been made possible by repeated treatments with the artificial kidney.1-7Recoveries have been recorded in patients with acute renal failure after 34 days of oliguria,3,5but recovery after prolonged periods of total urinary suppression has been distinctly rare and may indicate a prognostic distinction between oliguria (less than 400 ml a day) and anuria (less than 25 ml a day). We recently treated a patient who developed acute renal failure after abortion complicated by Clostridium welchii sepsis. The 23-day-long anuria seemed to indicate an extremely poor prognosis and may have been related to delay in eradicating a residual uterine abscess which was a site of Clostridial infection. Nevertheless, the patient finally entered a short oliguric and then a diuretic phase, and ultimately recovered. Although other cases of anuria lasting from 22½ to 30 days without dialytic therapy have

Prologned anuria following a single injection of a bismuth preparation: Possible response to therapy with bath

Summary 1. A case of anuria of eight days' duration following intramuscular administration of 0.5 c.c. Thiobismol is presented. 2. Therapy was limited to intravenous fluids and the use of “BAL” forany detoxifying action it might have. 3. After eight days of anuria, urine output was resestablished. 4. Blood nonprotein nitrogen rose to 240 mg. Per 100 c.c. during the periodof anuria and fell gradually to normal over a period of about ten days. 5. No apparent permanent renal injury was sustained.