Clinical Case Database / Category: Patient Management

An unusual case of acute kidney injury

Publication details

Felicity Trimmer, Dr Jo Taylor
Foundation Years Journal, volume 9, issue 5, p.6 (123Doc Education, London, May 2015)


We present an unusual case of severe acute kidney injury in a young diabetic patient. The case highlights the severity and complexity of managing renal failure in obese diabetic patients.

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Felicity Trimmer

FY1 Doctor
Renal Unit, Dorset County Hospital NHS Foundation Trust
Williams Avenue, Dorchester, Dorset, DT1 2JY

Dr Jo Taylor (Corresponding author)

Consultant Nephrologist
Renal Unit, Dorset County Hospital NHS Foundation Trust
Williams Avenue, Dorchester, Dorset, DT1 2JY


1. NICE Guideline 169. Acute Kidney Injury. August 2013
2. Licurse A, Kim MC, Dziura J, Forman HP, Formica RN, Makarov DV et al. Renal ultrasonography in the evaluation of acute kidney injury: developing a risk stratification framework. Archives of Internal Medicine. 2010; 170(21):1900-1907.
3. Grupper M, Kravtsov A, Potasman I. Emphysematous cystitis: illustrative case report and review of the literature. Medicine (Baltimore). 2007; 86(1):47.
4. Huang JJ, Tseng CC. Emphysematous pyelonephritis: clinicoradiological classification, management, prognosis, and pathogenesis. Arch Intern Med. 2000; 160: (6):797.
5. Thomas AA, Lane BR, Thomas AZ, Remer EM, Campbell SC, Shoskes DA. Emphysematous cystitis: a review of 135 cases. BJU Int. 2007; 100(1):17.
6. Coca SG, Singanamala S, Chirag RP. Chronic Kidney Disease after acute kidney injury: a systematic review and metanalysis. Kidney Int. 2012; 81: 442 – 8.


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T​he Foundation Years Clinical Cases Database is​ a selection of 600 peer-reviewed clinical cases in the field of patient safety and clinical practice, specifically focused on the clinical information needs of junior doctors, based around the Foundation Year Curriculum programme (MMC). The cases have been chosen to align with the Foundation Year Curriculum.

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