Pediatr Nephrol (2018) 33:1155–1156 https://doi.org/10.1007/s00467-017-3821-2 CLINICAL QUIZ Hypernatremia and acute pancreatitis in chronic kidney disease: back to the salt mines. Questions 1 1 1 1 Marie de Tersant & Thérésa Kwon & Marie-Alice Macher & Anne Maisin & 1 1 Georges Deschênes & Olivier Niel Received: 25 September 2017 /Accepted: 27 September 2017 /Published online: 24 October 2017 IPNA 2017 Abstract mandatory for managing CKD patients with acute Background Acute pancreatitis can be a life-threatening com- pancreatitis. plication in patients with chronic kidney disease (CKD), es- pecially in kidney transplant recipients. . . Keywords Acute pancreatitis End-stage renal disease Cyst Case diagnosis/treatment The patient was 7 years old when . . lavage Hypernatremia Hypokalemia he received renal transplantation for CKD secondary to pos- terior urethral valves. Two years later, he presented with se- vere necrotizing pancreatitis (Ranson’s score 5, Balthazar’s score 8). Viral and genetic testing came back negative; pan- Case report creatitis was attributed to the patient’streatments (prednisone, trimethoprim-sulfamethoxazole, and everolimus). Twenty A patient of African ethnicity was 7 years old when he re- days later, necrotized pancreatic cysts had formed. Two drains ceived a deceased-donor kidney transplant for chronic kidney were surgically inserted into the abdomen, and
Pediatric Nephrology – Springer Journals
Published: Oct 24, 2017
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