Paediatria Croatica, Vol. 61 No. 4, 2017.
Stručni rad
https://doi.org/10.13112/PC.2017.26
Premature twins with acute renal injury – it is not always what it seems to be: case report
Ivona Butorac Ahel
orcid.org/0000-0002-7130-7574
; KBC Rijeka
Ana Milardović
Kristina Lah Tomulić
orcid.org/0000-0003-4021-1606
Arijan Verbić
orcid.org/0000-0002-2279-1072
Sanja Flajšman Raspor
Đurđica Košuljandić
Ivana Štrk Romić
Sažetak
Acute kidney injury (AKI) is common in critically ill premature infants. They are more susceptible to renal injury than older infants and
children because of the functional and developmental immaturity of neonatal kidney. There is no unifi ed defi nition for neonatal AKI.
AKI in neonates is often multifactorial and may result from prenatal, perinatal, or postnatal insults as well. Serum creatinine (SCr)
concentration at birth is similar to the mother’s value. We present a case of prematurely born twins who were admitted to the
paediatric intensive care unit because of AKI. Laboratory examination showed equally elevated levels of blood urea nitrogen (BUN)
and SCr and metabolic alkalosis in both twins. High values of BUN and SCr were the result of the mother’s unrecognized renal
disease. On the seventh postnatal day, SCr and BUN in twins were within the normal ranges. In all cases with high SCr levels in
neonates in the fi rst 72 hours after birth, it is mandatory to check the mother’s renal function.
Ključne riječi
acute kidney injury; infant; premature; uraemia
Hrčak ID:
201176
URI
Datum izdavanja:
22.12.2017.
Posjeta: 1.636 *