Snake bite complicated by acute kidney injury secondary to necrotizing glomerulonephritis.
We present a 38-year-old man who presented to the emergency department with complaints of a snake bite. He developed acute kidney injury (AKI) and the kidney biopsy showed necrotizing glomerulonephritis, which is rarely reported in AKI after snake bite. PMID: 25394446 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Al Qahtani MA, Altheaby A, Al Anazi T, Al Saad K, Binsalih S, Al Helail M Tags: Saudi J Kidney Dis Transpl Source Type: research

Concurrent emphysematous pyelonephritis and thigh necrotizing fasciitis after intramuscular administration of diclofenac.
We report a case of emphysematous pyelonephritis and necrotizing fasciitis of the left thigh after intramuscular administration of diclofenac that improved with aggressive management including broad-spectrum antibiotics, nephrectomy and surgical intervention. PMID: 25394447 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Amiri FS, Foroughi A Tags: Saudi J Kidney Dis Transpl Source Type: research

Invasive Saccharomyces cerevisiae infection: A friend turning foe?
We report a very rare case of acute pyelonephritis in a 51-year-old female with a history of chronic kidney disease (CKD) and diabetes caused by a normally benign and a well-known human commensal organism, Saccharomyces cerevisiae that is very often prescribed as a probiotic in modern medical practice. The causal role of S. cerevisiae was confirmed by its isolation in blood, urine, stool as well as vaginal swabs thus proving its virulent nature in suitable situations. PMID: 25394448 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Pillai U, Devasahayam J, Kurup AN, Lacasse A Tags: Saudi J Kidney Dis Transpl Source Type: research

Warburg's effect on solid tumors.
We report a 76-year-old male known to have hypertension and coronary artery disease, who presented with abdominal distension and lactic acidosis. His initial evaluation showed multiple liver masses that were biopsied and the patient was diagnosed with undifferentiated carcinoma of unknown primary, involving the liver. The patient had progression of lactic acidosis leading to his death on day-15. As the lactic acidosis was not in the setting of hypoxia or hemodynamic instability, we made the diagnosis of malignancy-associated type B lactic acidosis, also known as the Warburg's effect. Warburg's effect can occur in solid can...
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: El Imad T, El Khoury L, Geara AS Tags: Saudi J Kidney Dis Transpl Source Type: research

Retroperitoneum: A forgotten and fatal aspect of kidney biopsy.
We report here a case where, despite adequately preparing a patient for a kidney biopsy, distortion of the peritoneum and retroperitoneum from previous surgery resulted in a fatal outcome. This was due to loss of peritoneal integrity and the consequent loss of local anatomical hemostatic mechanism. PMID: 25394450 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Mohammed A, Manjanabil P, deTakats D Tags: Saudi J Kidney Dis Transpl Source Type: research

Reno-invasive fungal infection presenting as acute renal failure: Importance of renal biopsy for early diagnosis.
Abstract Renal zygomycosis, caused by invasive fungi, is a rare and potentially fatal infec-tion. The patient usually presents with non-specific symptoms and renal failure. A 34-year-old male non-diabetic and without any predisposing factors for systemic fungal infection presented to the emergency department with diffuse abdominal pain, high-grade fever and acute renal failure with a serum creatinine of 6.5. A computed tomography showed bilateral diffuse globular nephromegaly. A urine smear for fungal examination showed right angle branching hyphae and kidney biopsy showed fungal hyphae within the glomeruli, tubul...
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Ranjan P, Chipde SS, Vashistha S, Kumari N, Kapoor R Tags: Saudi J Kidney Dis Transpl Source Type: research

Ocular changes in renal allograft recipients and patients of chronic kidney disease.
PMID: 25394452 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Sandhu JS, Kansal S, Bajwa GS, Sandhu J Tags: Saudi J Kidney Dis Transpl Source Type: research

Burkitt's lymphoma developing post liver transplantation: Posttransplant lymphoproliferative disorders international survey.
PMID: 25394453 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Khedmat H, Ghamar-Chehreh ME, Amini M, Taheri S Tags: Saudi J Kidney Dis Transpl Source Type: research

Significance of CD20 expression by lymphoproliferative lesions developing after liver transplantation: Post-transplant lymphoproliferative disorders international survey.
PMID: 25394454 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Khedmat H, Ghamar-Chehreh ME, Amini M Tags: Saudi J Kidney Dis Transpl Source Type: research

Eosinophilic cystitis and idiopathic hypereosinophilic syndrome in an eight-year-old girl.
PMID: 25394455 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Derakhshan D, Ilkhanipoor H, Derakhshan A Tags: Saudi J Kidney Dis Transpl Source Type: research

Macrothrombocytopenia, psychomotor retardation, and nephropathy: A novel familial syndrome.
PMID: 25394456 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Akl KF, Qudah AK, Awidi A, Suleiman MJ, Ababneh N, Bsoul N, Magablah A Tags: Saudi J Kidney Dis Transpl Source Type: research

A case of minimal change disease complicated by acute kidney injury in systemic lupus erythematosus.
PMID: 25394457 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Wong KW Tags: Saudi J Kidney Dis Transpl Source Type: research

Irreversible fatal renal failure resulting from isolated renal mucormycosis.
PMID: 25394458 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Sathe KP, Mehta KP Tags: Saudi J Kidney Dis Transpl Source Type: research

Impact of hepatitis C infection on renal transplant patients: A single-center experience in Libya.
The objective of this study was to assess the effect of hepatitis C virus (HCV) infection on graft and patient survival in a cohort of Libyan renal transplant recipients. Medical records of 241 renal transplant (RT) patients who have been followed-up at the Benghazi Nephrology Center up to February 2010 were reviewed. Based on the presence or absence of anti-HCV antibodies and HCV-RNA in the serum, patients were divided into two groups: HCV-positives and HCV-negatives. Anti-HCV antibodies were detected by the enzyme-linked immunosorbent assay technique and HCV-RNA by the polymerase chain reaction. Of the 241 RT patients, 1...
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Elzouki AN, Gargoum HM, Habas EM, Rayani AA, Othman M Tags: Saudi J Kidney Dis Transpl Source Type: research

Fifteen years of kidney biopsies in children: A single center in Egypt.
This study retrospectively investigates the indications and results of renal biopsy in children to determine the patterns of childhood kidney disease in a single tertiary children's hospital in Egypt. We included all the patients who underwent ultrasound-guided renal biopsy from 1998 to 2012. All the kidney biopsies were studied under light microscopy, while immunofluorescence and electron microscopy were performed when indicated. A total of 1246 renal biopsies were performed over 15 years, on 1096 patients. The mean age of the patients at the time of biopsy was 9.2 ± 3.7 years. The main indication for a biopsy was ...
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Bakr A, Eid R, Sarhan A, Hammad A, El-Refaey AM, El-Mougy A, Zedan MM, ElHusseini F, El-Rahman AA Tags: Saudi J Kidney Dis Transpl Source Type: research

Hypertension care in Aseer region, Saudi Arabia: Barriers and solutions.
This study revealed that HTN patients received insufficient care, which could be attributed to many different barriers. In order to improve the quality of HTN care for HTN, these barriers should be overcome by implementation of the recommendations. PMID: 25394461 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Al-Saleem SA, Al-Shahrani A, Al-Khaldi YM Tags: Saudi J Kidney Dis Transpl Source Type: research

Survival of living donor renal transplant recipients in Sri Lanka: A single-center study.
The objective of this retrospective cohort study was to evaluate graft and patient survival rates in patients who were transplanted from living donors at the Nephrology Unit of the National Hospital of Sri Lanka from January 2005 to January 2011. Data were collected using an interviewer-administered questionnaire and through a review of past medical records. The Kaplan-Meier method was used to determine the survival rate, the log rank test was used to compare survival curves and the Cox proportional hazard model was used for multivariate analysis. Mean follow-up was 26.44 ± 16.6 months. The five-year death-censored ...
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Galabada DP, Nazar AL, Ariyaratne P Tags: Saudi J Kidney Dis Transpl Source Type: research

Trends in hepatitis C infection among hemodialysis patients in Senegal: Results of a decade of prevention.
Abstract Chronic kidney disease is an emerging public health issue in Africa. At end-stage renal disease (ESRD), patients need hemodialysis (HD), which may expose them to blood transmitted infections, such as the hepatitis C virus (HCV). Sub-Saharan Africa has the highest HCV prevalence in the world, but data on HD patients is scarce and shows an exceptionally high rate in Senegal. To assess the efficacy of preventive measures in reducing HCV infection among dialysis patients, we retrospectively conducted a cross-sectional study in three Senegalese HD centers, including all HD patients who performed HCV serology b...
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Seck SM, Dahaba M, Gueye S, Ka EF Tags: Saudi J Kidney Dis Transpl Source Type: research

Quality of life of patients with end-stage renal disease in Guinea.
Abstract This questionnaire-based study included 69 patients from the Republic of Guinea with end-stage renal disease (ESRD) and was conducted over 12 months. The factors that affected their quality of life (QoL) were determined. The included ESRD patients had an estimated creatinine clearance (CCr) of
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Bah AO, Nankeu N, Balde MC, Kaba ML, Bah BK, Rostaing L Tags: Saudi J Kidney Dis Transpl Source Type: research

Black water fever associated with acute renal failure among Congolese children in Kinshasa.
Abstract Acute renal failure (ARF) is reported in some severe forms of malaria such as black water fever (BWF). It is associated with a high mortality rate and can be managed effectively with adequate renal replacement. A prospective survey of children with dark urine after a malarial infection with Plasmodium falciparum was coupled with a chart review study of patients managed in the past 11 years in the Pediatrics' Kinshasa University Hospital. Eighty-nine cases of ARF were identified, but data from only 63 patients were available, of whom 44 (69.8%) had severe malaria (39 with BWF and 5 with cerebral malaria). ...
Source: Saudi Journal of Kidney Diseases and Transplantation - November 1, 2014 Category: Urology & Nephrology Authors: Bodi JM, Nsibu CN, Aloni MN, Lukute GN, Kunuanuna TS, Tshibassu PM, Pakasa N Tags: Saudi J Kidney Dis Transpl Source Type: research

Author's reply.
PMID: 25282722 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Iliyasu Z Tags: Saudi J Kidney Dis Transpl Source Type: research

Authors reply.
urreh OA, Yunus F, Bawazir AA PMID: 25282723 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Authors reply. Tags: Saudi J Kidney Dis Transpl Source Type: research

Organ donation and transplantation in the Kingdom of Saudi Arabia 2013.
Authors: PMID: 25282724 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Tags: Saudi J Kidney Dis Transpl Source Type: research

The relation between serum testosterone levels and cardiovascular risk factors in patients with kidney transplantation.
The objective of the study is to evaluate the relationship between serum testos-terone levels and cardiovascular risk factors (CVRF) in patients after kidney transplantation and with chronic kidney disease (CKD). Seventy-five male patients, aged between 18 and 68 years, who had kidney transplantation at least six months earlier, were enrolled into the study. Only renal transplant recipients and CKD patients with a creatinine level of
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Colak H, Sert I, Kurtulmus Y, Karaca C, Toz H, Kursat S Tags: Saudi J Kidney Dis Transpl Source Type: research

The effect of cold ischemia time on delayed graft function and acute rejection in kidney transplantation.
The objective of this study is to evaluate the impact of cold ischemia time (CIT) on delayed graft function (DGF) and acute rejection (AR) among deceased donor kidney transplant recipients. The medical records of 111 patients who underwent kidney transplantation from deceased donors between November 1994 and July 2009 were retrospectively analyzed. DGF was observed in 54% of the patients and the prevalence of AR in the first year after transplantation was 9.9%. The incidence of DGF was higher among patients with longer CIT. There was no correlation between CIT and AR episodes. Higher body weight of recipients and donors, h...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Sert I, Colak H, Tugmen C, Dogan SM, Karaca C Tags: Saudi J Kidney Dis Transpl Source Type: research

Hepcidin and regulation of iron homeostasis in maintenance hemodialysis patients.
Abstract Hepcidin may play a critical role in the response of patients with anemia to iron and erythropoiesis-stimulating agent therapy. To evaluate the factors affecting serum hepcidin levels and their relation to other indexes of anemia, iron metabolism and inflammation, as well as the dose of erythropoietin, we studied 80 maintenance hemodialysis (MHD) patients treated with recombinant human erythropoietin and their serum hepcidin levels were specifically measured by using a competitive enzyme-linked immunosorbent assay. In linear regression analysis, ferritin was found to be a significant predictor of hepcidin...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Sany D, Elsawy AE, Elshahawy Y Tags: Saudi J Kidney Dis Transpl Source Type: research

Predictive parameters of survival in hemodialysis patients with restless leg syndrome.
This study was a non-randomized clinical study involving 204 patients on HD, of whom 71 were female and 133 were male. Symptoms of RLS were defined as positive responses to four questions comprising the criteria of RLS. We recorded the outcome of treatment, biochemical analyses, demographic, sexual, anthropometric and clinical characteristics in all study patients. Patients with RLS who completed the study had a significantly higher body mass index and lower intima-media thickness and flow through the arteriovenous fistula. Among patients with RLS who died, there were more smokers as well as higher incidences of cardiovasc...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Stolic RV, Trajkovic GZ, Jekic D, Sovtic SR, Jovanovic AN, Stolic DZ, Stanojevic-Pirkovic MS, Djordjevic Z Tags: Saudi J Kidney Dis Transpl Source Type: research

Prevalence of vitamin D deficiency in peritoneal dialysis patients.
Abstract Peritoneal dialysis (PD) patients have a high risk of developing vitamin D deficiency as 25(OH) vitamin D, the precursor of active vitamin D, is lost during dialysis. This crosssectional study was conducted to investigate the prevalence of vitamin D deficiency among adult Saudi patients on regular PD The data was collected in the summer of 2010 from patients who were on PD for more than six months at the King Khalid University Hospital, Riyadh. We recorded the demographic and clinical parameters for all patients. Blood samples were taken for serum vitamin D level (25 OH), serum parathyroid hormone (PTH) l...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Alwakeel JS, Usama S, Mitwalli AH, Alsuwaida A, Alghonaim M Tags: Saudi J Kidney Dis Transpl Source Type: research

Renal artery stenosis in patients with established coronary artery disease: Prevalence and predicting factors.
Abstract The association between renal artery stenosis (RAS) and other atherosclerotic diseases (particularly coronary artery diseases) is well known. In general, the risk factors for atherosclerosis have been clarified, but whether these risk factors operate equally in all forms of atherosclerotic diseases is not known. The aim of this study was to describe the prevalence of RAS in patients with established coronary artery diseases and then to define the most important risk factors that may help to predict the RAS in this population. In this cross-sectional study, 146 patients with established coronary artery ste...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Khatami MR, Edalati-Fard M, Sadeghian S, Salari-Far M, Bs MP Tags: Saudi J Kidney Dis Transpl Source Type: research

Univariate and multiple linear regression analyses for 23 single nucleotide polymorphisms in 14 genes predisposing to chronic glomerular diseases and IgA nephropathy in Han Chinese.
Abstract Immunoglobulin A nephropathy (IgAN) is a complex trait regulated by the inter-action among multiple physiologic regulatory systems and probably involving numerous genes, which leads to inconsistent findings in genetic studies. One possibility of failure to replicate some single-locus results is that the underlying genetics of IgAN nephropathy is based on multiple genes with minor effects. To learn the association between 23 single nucleotide polymorphisms (SNPs) in 14 genes predisposing to chronic glomerular diseases and IgAN in Han males, the 23 SNPs genotypes of 21 Han males were detected and analyzed w...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Wang H, Sui W, Xue W, Wu J, Chen J, Dai Y Tags: Saudi J Kidney Dis Transpl Source Type: research

The evaluation of relationship between vitamin D and muscle power by micro manual muscle tester in end-stage renal disease patients.
Abstract Muscle force of lower limb is a major factor for sustaining physical activity. Decreased muscle force can limit physical activity, which can increase mortality and morbidity in end-stage renal disease (ESRD) patients. Muscle force depends on several factors. One of the most important factors is 25-hydroxy vitamin D (25-OHD) that affects muscle function in both uremic and non-uremic patients. The aim of this study was to investigate the association between serum level of 25-OHD and muscle force of lower extremities in hemodialysis patients estimated by a Micro Manual Muscle Tester, a digital instrument tha...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Zahed N, Chehrazi S, Falaknasi K Tags: Saudi J Kidney Dis Transpl Source Type: research

Comparison of the performance of the updated Schwartz, combined Schwartz and the Grubb glomerular filtration rate equations in a general pediatric population.
Abstract To determine the performance of the updated Schwartz, combined Schwartz and Grubb glomerular filtration rate (GFR) equations in a relatively large number of healthy children with no known renal disease, we studied 712 students aged between seven and 18 years from the Isfahan province of Iran by random cluster sampling between 2009 and 2010. Blood investigations included blood urea nitrogen, creatinine and cystatin C. For each participant, GFR was calculated based on the three equations. We used Bland-Altman plots and weighted kappa statistics to compare the performance of the study equations. The mean age...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Gheissari A, Roomizadeh P, Kelishadi R, Abedini A, Haghjooy-Javanmard S, Abtahi SH, Mehdikhani B Tags: Saudi J Kidney Dis Transpl Source Type: research

The role of routine chest radiography for detecting complications after central venous catheter insertion.
Abstract Chest radiographs are obtained routinely after central venous catheter (CVC) insertion in many institutions, although it consumes time and money. The purpose of this study was to evaluate the role of post-procedural chest X-ray in detecting complications of CVC insertion; we performed CVC insertion without using ultrasonography guidance. A total of 454 patients who required an emergency vascular access for hemodialysis between February 2008 and March 2010 were included in this study. In cases where three to five unsuccessful attempts were encountered to place the CVC or pierce the artery, we used another ...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Zadeh MK, Shirvani A Tags: Saudi J Kidney Dis Transpl Source Type: research

Association of renal failure with thyroid dysfunction: A retrospective cohort study.
This study aimed to examine the relationship between renal failure and thyroid dysfunction in an outpatient setting at the King Abdulaziz University Hospital, Saudi Arabia, from January 2011 to June 2012. Demographic and biochemical data were extracted from medical records. Differences in the levels of thyroid hormones and lipids between the four renal function groups were analyzed using the chi-square test for categorical variables and Kruskal- Wallis test for binomial variables. A total of 486 patients were included in the study population, of whom approximately half were female, and the median (range) age was 61 (17-90)...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Ahmed MM Tags: Saudi J Kidney Dis Transpl Source Type: research

Angiogenic activity in the sera of patients with post-kidney transplant erythrocytosis.
Abstract Post-kidney transplant erythrocytosis (PTE) is one of the hematological complications in the renal transplant patients. While its pathogenesis still remains to be elucidated completely, a number of therapies are available for the management of PTE. The aim of this prospective study was to investigate whether angiogenesis may be involved in the pathogenesis of post-transplant erythrocytosis by comparing its level with those of different classes of erythrocytosis [polycythemia vera (PV), idiopathic erythrocytosis and secondary erythrocytosis]. The angiogenic activity was evaluated by the assessment of the s...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Maktouf C, Yaich S, Aloui S, Bounemra A, Charfeddine K, Skhiri H, Hachicha J Tags: Saudi J Kidney Dis Transpl Source Type: research

Decreasing intra-dialytic morbid events and assessment of dry weight in children on chronic hemodialysis using non-invasive changes in hematocrit.
Abstract Achieving dry weight after hemodialysis (HD) is critical as chronic fluid over-load can result in left ventricular hypertrophy, while small fluid shifts may result in intra-dialytic morbid events (IME). In the pediatric population, estimating dry weight can be difficult due to growth while on dialysis. Continuous non-invasive monitoring of the hematocrit (NIVM) has been proposed as a more accurate method of estimating dry weight. Fifteen pediatric patients on chronic HD (6 males and 9 females; mean age 11.4 ± 2.28 years) were included in an uncontrolled prospective study involving three phases. In ...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Fadel FI, Makar SH, Eskander AE, Aon AH Tags: Saudi J Kidney Dis Transpl Source Type: research

Proteinuria in patients with sickle cell disease.
This study indicates that patients with SCD in Eastern Saudi Arabia have a low prevalence of proteinuria and preserved GFR. PMID: 25193903 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Alkhunaizi AM, Al-Khatti AA Tags: Saudi J Kidney Dis Transpl Source Type: research

Blastomyces dermatitidis in a renal transplant recipient.
Abstract Fungal pathogens can be the source of serious and sometimes fatal infections following organ transplantation. To the best of our knowledge, we present the first case of cutaneous blastomycosis in a renal allograft recipient in India, a country outside the known endemic regions. This case, with the very rare and unexpected diagnosis of blastomycosis, not only reflects the tremendous diversity of infections in transplant recipients but also emphasizes the utility of serological methods even in the immunosuppressed host. PMID: 25193904 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Patel HV, Kute VB, Vanikar AV, Shah PR, Gumber MR, Trivedi HL Tags: Saudi J Kidney Dis Transpl Source Type: research

Co-existence of BKV nephropathy and disseminated tuberculosis ain transplant recipient.
Abstract Tuberculosis (TB) in renal transplant recipients presents important diagnostic difficulties because of the greater incidence of extra-pulmonary involvement, negative sputum smear results despite active disease and its atypical presentation, specifically reactivation of the latent form. BKV nephropathy was first reported in 1995, coinciding with the widespread use of immunosuppressive drugs, which can complicate the cores of 1-10% of renal transplant recipients. It is also not uncommon to find the existence of bacterial or fungal infections in the presence of an immuno-modulating virus like cytomegalovirus...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Al-Warthan S, Al-Hwiesh A Tags: Saudi J Kidney Dis Transpl Source Type: research

Anesthetic management of laparoscopic dual renal transplantation.
Abstract Since the first laparoscopic nephrectomy was reported in 1991, this technique has evolved rapidly and laparoscopic donor nephrectomy has emerged as a standard of care in many institutions. However, recipient renal transplantation is still performed by the traditional open approach. There is only one case report of laparoscopic kidney transplantation (LKT) from Spain in 2009. LKT is a technically demanding surgery for a urologist and equally challenging for an anesthesiologist as he has to be vigilant because of the major perturbations in the cardiorespiratory system due to steep trendelenberg position and...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Kadam P, Butala B, Shah V Tags: Saudi J Kidney Dis Transpl Source Type: research

Thirty years survivor on hemodialysis: A case report.
We present a woman who had been on uninterrupted hemodialysis for 30 years and did well for much of her time on hemodialysis, despite a long-standing uneven course. The literature of extremely long-lived patients on un-interrupted hemodialysis is reviewed and the clinical characteristics and complications encountered in these patients are discussed. PMID: 25193907 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Triga K, Dousdampanis P, Aggelakou-Vaitsi S, Gellner K Tags: Saudi J Kidney Dis Transpl Source Type: research

Unusual presentation of aortic dissection: Post-coital acute paraplegia with renal failure.
We report the case of a 45-year-old chronic smoker who presented with acute paraplegia occurring during coitus and subsequently developed acute renal failure (ARF) requiring dialysis. He had absent peripheral pulses in the lower limbs with evidence of acute ischemia. Doppler study showed dissecting aneurysm of thoracic aorta, thrombotic occlusion of the distal aorta from L1 level up to bifurcation and occlusion of the right renal artery by a thrombus that was confirmed by magnetic resonance imaging of the spine. He was not subjected to any vascular intervention as his lower limbs were not salvageable due to delay in the di...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Galabada DP, Nazar AL Tags: Saudi J Kidney Dis Transpl Source Type: research

Chronic graft versus host disease and nephrotic syndrome.
We describe a 19-year-old woman who developed membranous glomerulonephritis after bone marrow transplantation (BMT). Six months later, she developed soft palate, skin and liver lesions considered to be chronic GVHD. Fifteen months after undergoing BMT, this patient presented with nephrotic syndrome. A renal biopsy showed mem-branous glomerulonephritis associated with a focal segmental glomerulosclerosis. She was started on corticosteroid treatment with good outcome. PMID: 25193909 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Barbouch S, Gaied H, Abdelghani KB, Goucha R, Lakhal A, Torjemen L, Hamida FB, Abderrahim E, Maiz HB, HafedhHedri, Adel K Tags: Saudi J Kidney Dis Transpl Source Type: research

Renal paraneoplastic vasculitis complicating lung adenocarcinoma.
Abstract Renal paraneoplastic vasculitis (RNPV) is rare. It can be revealed by glomerulonephritis, microaneurysms or renal failure. RPNV may precede the onset of the primary tumor, and treatment and prognosis depend on the etiology (primary tumor). A 54-year-old man who had a primary lung adenocarcinoma was admitted for nephrotic syndrome. The investigations revealed RNPV. The patient was treated with corticosteroids at high dose and cyclophosphamide with improvement of the renal condition; however, the patient died from worsening of his pulmonary neoplasia. PMID: 25193910 [PubMed - in process] (Source: Saudi...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Dhaou BB, Boussema F, Aydi Z, Ketari S, Baili L, Moussa FB, Rokbani L Tags: Saudi J Kidney Dis Transpl Source Type: research

Subcutis calcinosis caused by injection of calcium-containing heparin in a chronic kidney injury patient.
We report the case of an 83-year-old female, a known case of chronic kidney disease (CKD) for four years with recent worsening of renal failure requiring hospitalization and hemodialysis. She developed subcutis calcinosis following injection of calcium-containing heparin. Biochemical tests showed serum parathormone level at 400 pg/dL, hypercalcemia, elevated calcium-phosphate product and monoclonal gammopathy related to multiple myeloma. She developed firm subcu-taneous nodules in the abdomen and the thighs, the injection sites of Calciparin ® (calcium nadroparin) that was given as a preventive measure against deep vei...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Fatma LB, El Ati Z, Azzouz H, Rais L, Krid M, Smaoui W, Maiz HB, Béji S, Zouaghi K, Zitouna M, Moussa FB Tags: Saudi J Kidney Dis Transpl Source Type: research

Osteomalacia complicating renal tubular acidosis in association with Sjogren's syndrome.
Abstract Renal involvement in Sjogren's syndrome (SS) is not uncommon and may precede other complaints. Tubulointerstitial nephritis is the most common renal disease in SS and may lead to renal tubular acidosis (RTA), which in turn may cause osteomalacia. Nevertheless, osteomalacia rarely occurs as the first manifestation of a renal tubule disorder due to SS. We herewith describe a 43-year-old woman who was admitted to our hospital for weakness, lumbago and inability to walk. X-ray of the long bones showed extensive demineralization of the bones. Laboratory investigations revealed chronic kidney disease with serum...
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: El Ati Z, Fatma LB, Boulahya G, Rais L, Krid M, Smaoui W, Maiz HB, Beji S, Zouaghi K, Moussa FB Tags: Saudi J Kidney Dis Transpl Source Type: research

Improving medication adherence among adult patients on hemodialysis.
PMID: 25193913 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Karkar A Tags: Saudi J Kidney Dis Transpl Source Type: research

Renal forniceal rupture in pregnancy secondary to obstructive renal stone presenting with acute renal failure.
PMID: 25193914 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Jalbani IK, Ather MH Tags: Saudi J Kidney Dis Transpl Source Type: research

Ganciclovir-induced acute liver injury in a patient with lupus nephritis.
PMID: 25193915 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Abdallah EA, Al-Helal B, Asad R Tags: Saudi J Kidney Dis Transpl Source Type: research

Emphysematous pyelonephritis with air in the renal vein and septic emboli in the lungs: A rare presentation.
PMID: 25193916 [PubMed - in process] (Source: Saudi Journal of Kidney Diseases and Transplantation)
Source: Saudi Journal of Kidney Diseases and Transplantation - September 1, 2014 Category: Urology & Nephrology Authors: Yadav MK, Bhatia A, Bhalla A, Khandelwal N Tags: Saudi J Kidney Dis Transpl Source Type: research