Abstract
Detection of acute renal infarction is often delayed or missed because of both the rarity of the disease and its nonspecific clinical presentation. Abrupt onset of low-back pain in a patient at high risk for a thromboembolic event may be the first indication of renal infarction. We report a case of acute renal infarction and review its diagnosis and management.
This content is limited to qualifying members.
If you have an existing account please login now to access this article or view purchase options.
Create a free account, then purchase this article to download or access it online for 24 hours.
Create a free account, then purchase a subscription to get complete access to all articles for a full year.
References
References 1. Silman AJ, Jayson MI, Papageorgiou AC, Croft PR. Hospital referrals for low back pain: More coherence needed. J R Soc Med 2000; 93: 135–137.SilmanAJ]]JaysonMI]]PapageorgiouAC]]CroftPRHospital referrals for low back pain: More coherence neededJ R Soc Med200093135 2. Gasparini M, Hofmann R, Stoller M. Renal artery embolism: Clinical features and therapeutic options. J Urol 1992; 147: 567–572.GaspariniM]]HofmannR]]StollerMRenal artery embolism: Clinical features and therapeutic optionsJ Urol1992147567 3. Argiris A. Splenic and renal infarctions complicating atrial fibrillation. Mt Sinai J Med 1997; 64: 342–349.ArgirisASplenic and renal infarctions complicating atrial fibrillationMt Sinai J Med199764342 4. Goldberg G. Renal infarction. Ann Emerg Med 1985; 14: 611–614.GoldbergGRenal infarctionAnn Emerg Med198514611 5. Domanovits H, Paulis M, Nikfardjam M, Meron G, Kurkciyan I, Bankier AA, et al. Acute renal infarction: Clinical characteristics of 17 patients. Medicine (Baltimore) 1999; 78: 386–394.DomanovitsH]]PaulisM]]NikfardjamM]]MeronG]]KurkciyanI]]BankierAAAcute renal infarction: Clinical characteristics of 17 patientsMedicine Baltimore199978386 6. Kramer RK, Turner RC. Renal infarction associated with cocaine use and latent protein C deficiency. South Med J 1993; 86: 1436–1438.KramerRK]]TurnerRCRenal infarction associated with cocaine use and latent protein C deficiencySouth Med J1993861436 7. Braun JS, Straube W. A new rapid test for diagnosing microhematuria, compared with results of microscopic examination [in German]. Dtsch Med Wochenschr 1975; 100: 87–89.BraunJS]]StraubeWA new rapid test for diagnosing microhematuria, compared with results of microscopic examination [in German]Dtsch Med Wochenschr197510087 8. Winzelberg GG, Hull JD, Agar JW, Rose BD, Pletka PG. Elevation of serum lactate dehydrogenase levels in renal infarction. JAMA 1979; 242: 268–269.WinzelbergGG]]HullJD]]AgarJW]]RoseBD]]PletkaPGElevation of serum lactate dehydrogenase levels in renal infarctionJAMA1979242268 9. Moyer JD, Rao CN, Widrich WC, Olsson CA. Conservative management of renal artery embolus. J Urol 1973; 109: 138–143.MoyerJD]]RaoCN]]WidrichWC]]OlssonCAConservative management of renal artery embolusJ Urol1973109138 &NA; If you knock Long enough and loud enough… You are sure to wake up somebody. —Henry Wadsworth Longfellow