Unusual ultrastructural features in a case of C3 glomerulopathy
Monika Sharma, Aditi Das, Abhijeet Saha, Hasib Anjum, Vineeta V BatraIndian Journal of Nephrology 2022 32(4):387-389 (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Monika Sharma Aditi Das Abhijeet Saha Hasib Anjum Vineeta V Batra Source Type: research

Ochoa syndrome & #8211; Neurogenic bladder with an inverted smile
We report a 5-year-old boy presenting to us with Stage IV chronic kidney disease with bilateral hydroureteronephrosis secondary to chronic urinary incontinence. His peculiar facial expression with a grimace while smiling suggested the diagnosis of Ochoa syndrome. He was managed conservatively for neurogenic bladder and is under follow-up. We wish to highlight this unique syndrome and the simplicity in making this syndromic diagnosis, just by appreciating abnormal facial expressions. (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Varun Govindarajan Anil Kumar Hanumanna Vijayakumar Krishna Kumari Mallesh Kariyappa Source Type: research

Post covishield (ChAdOx1 nCoV-19) vaccination: New onset focal segmental glomerulosclerosis resistant to steroid and calcineurin inhibitor
Vijoy Kumar Jha, Ramanjit Singh Akal, Alok Sharma, Debasish MahapatraIndian Journal of Nephrology 2022 32(4):378-383 With the ongoing mass COVID vaccination program, various case reports link the COVID-19 vaccines with heightened off-target immune responses leading to de novo development or relapse of various glomerular diseases. Very few glomerular diseases (totally nine published cases to date) have been reported post ChAdOx1 nCoV-19 (Oxford–AstraZeneca) vaccination compared to more potent m RNA vaccine. In this case report, we present a case of de novo focal segmental glomerulosclerosis (FSGS) post ChAdOx1...
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Vijoy Kumar Jha Ramanjit Singh Akal Alok Sharma Debasish Mahapatra Source Type: research

A preemptive living donor renal transplant in an HIV positive patient from an HIV positive donor
Neil Saldanha, Vijay Nandu, Zaheer A Virani, Prashant Rajput, Shruti Tapiawala, Bharat V ShahIndian Journal of Nephrology 2022 32(4):375-377 With recent advances in the treatment of human immunodeficiency virus (HIV), renal transplantation is no longer considered a contraindication in properly selected HIV-positive patients. Several studies have demonstrated comparable patient and graft outcomes between HIV-negative and HIV-positive renal transplant recipients. Most of the information on outcomes of HIV-positive to HIV-positive transplantation is based on data from deceased donors. There are only a handful of case reports...
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Neil Saldanha Vijay Nandu Zaheer A Virani Prashant Rajput Shruti Tapiawala Bharat V Shah Source Type: research

Tunneled femoral vein catheterization for long-term hemodialysis & #8211; Experience from a tertiary care center
Conclusion: Our experience with tunneled femoral catheters revealed low catheter survival and significant complications (deep venous thrombosis and malfunction/occlusion). (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Jasmine Sethi Mragank Gaur Manish Rathi Harbir S Kohli Source Type: research

Atypical HUS triggered by COVID-19: A case report
Vaibhav Tiwari, Gaurav Bhandari, Anurag Gupta, Pallav Gupta, Vinant Bhargava, Manish Malik, Ashwini Gupta, Anil K Bhalla, Devinder S RanaIndian Journal of Nephrology 2022 32(4):367-370 We hereby present a case of an atypical hemolytic uremic syndrome (aHUS) precipitated by coronavirus disease 2019 (COVID-19). A 26-year-old male was diagnosed with COVID-19 and acute kidney injury. His kidney biopsy was suggestive of thrombotic microangiopathy. Five sessions of plasmapheresis were done but were discontinued in view of nonrecovery of kidney function. He was then referred for a kidney transplant. On genetic analysis, he was f...
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Vaibhav Tiwari Gaurav Bhandari Anurag Gupta Pallav Gupta Vinant Bhargava Manish Malik Ashwini Gupta Anil K Bhalla Devinder S Rana Source Type: research

Phaeohyphomycosis in renal transplant recipients: A case series
We describe here five cases of phaeohyphomycosis in renal transplant recipients, two with deep-seated unusual sites of infection. All patients received antifungals, and surgical excision was done where feasible. Outcomes included complete resolution of infection in three, partial resolution in one, and mortality in one case. (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Pallavi Prasad Ramprasad Elumalai Manikantan Sekar Barathi Gunabooshanam Jayakumar Matcha Source Type: research

IgA nephropathy with posterior reversible encephalopathy with spinal cord involvement in a young male: A case report
We describe a young male patient who presented with neurological symptoms suggestive of PRES; however, the atypical radiological findings along with concomitant rapidly progressive glomerulonephritis led to a diagnostic dilemma. Repeat neuro-imaging after appropriate blood pressure control showed disappearance of the lesions confirming the diagnosis of PRES-SCI, and kidney biopsy showed advanced IgA nephropathy. Knowledge of atypical features of PRES is crucial amongst nephrologists as it is a common association with kidney disease and prompt identification and management avoid irreversible sequelae and unnecessary investi...
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Arun Prabhahar Mohamed Y Arafath Parmeshar Singh Raja Ramachandran Joyita Bharati Source Type: research

Correlation of AKI with risk factors, ventilatory support, renal replacement therapy in a cohort of COVID-19 patients
Conclusions: In our study, AKI prevalence was 6.8%, the need for ventilation was 45.5%, ECMO 0.2%, and the mortality rate 2.9%. Second wave of COVID-19 exhibits improved clinical outcomes compared to the first wave. (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Phanidhar Mogga Shreevidya Venkatraman Urjitha Rajagopalan Prashanth Rajagopalan Prabhu Radhan Kumaresan Maithrayie Sivaraj Padmanabhan Swamikannu Murugan Archana Nagarajan Chandrasekaran Venkataraman Milly Mathew Georgi Abraham Nancy Lesley Source Type: research

Renal lymphoma diagnosed on kidney biopsy presenting as acute kidney injury
Conclusion: Acute kidney injury as a presenting feature with lymphomatous infiltration of renal parenchyma is not uncommon. The patchy involvement makes it challenging on kidney biopsy with definitive diagnosis being made with the help of immunohistochemistry. Appropriate multidisciplinary involvement improves patient outcome. (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Swapna Nuguri Meenakshi Swain Michelle De Padua Swarnalata Gowrishankar Source Type: research

Subjective global nutritional assessment [SGNA] in children on chronic dialysis- A prospective observational study
Conclusion: Two-thirds of the children on chronic dialysis were diagnosed with moderate to severe malnutrition by SGNA, while the majority remained in the same category of nutritional status on follow-up. Only half of the parameters used for assessment were strongly associated with the presence and severity of malnutrition. SGNA showed a poor agreement with objective nutritional measures and was not responsive in identifying a change in the nutritional status on follow-up. (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Arpana Iyengar John M. R. Ashok Anil Vasudevan Source Type: research

Diabetes and mortality among patients with chronic kidney disease and COVID-19: A systematic review, meta-analysis, and meta-regression
Conclusions: Diabetes was associated with higher mortality risk among CKD patients, primarily those who did not need RRT. (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Maria R Iryaningrum Rudi Supriyadi Sherly Lawrensia Joshua Henrina Nanny Natalia M. Soetedjo Source Type: research

Childhood steroid-resistant nephrotic syndrome: Long-term outcomes from a Tertiary Care Center
Conclusion: SRNS children with MCD on biopsy, late resistance, and response to CNIs have better long-term outcomes. Most patients respond to CNIs within the first 6 months of use and need therapy for at least 24 to 36 months. (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Shipra Agrwal Mukta Mantan Aashima Dabas Vineeta V Batra Source Type: research

Two decades outcomes of posttransplant immunoglobulin a nephropathy in live donor renal transplantation
Conclusion: Posttransplant IgAN is associated with poor long-term graft outcomes in live donor renal transplants. Proteinuria and MEST scoring were not predictive of graft failure in living donor posttransplant IgAN. (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Mudit Khurana Narayan Prasad Manas Behera Monika Yachha Ravi Kushwaha Vinita Agarwal Dharmendra Bhadauria Anupama Kaul Manas Patel Manoj Jain Source Type: research

Straight versus coiled catheters in peritoneal dialysis in a Tertiary Care Center in Malaysia
Conclusions: There is no difference in outcomes between the coiled and straight PD catheters. (Source: Indian Journal of Nephrology)
Source: Indian Journal of Nephrology - August 4, 2022 Category: Urology & Nephrology Authors: Anna M Abdul Rashid Mohamad Z Bidin Christopher TS. Lim Source Type: research