Acute kidney injury in anaphylactic shock

Abstract

Background. Acute kidney injury (AKI) may manifest in patients experiencing anaphylactic shock. Arterial hypotension significantly contributes to the pre-renal etiology of AKI. The condition of anaphylactic shock is a life-threatening situation that requires immediate intervention. Objective of study. This study aims to document the clinical profile, diagnostic investigations and the treatment intervention of a 38-year-old male patient with acute kidney injury and anaphylactic shock. Material and methods. This case report describes a 38-year-old male patient with anaphylactic shock. A range of diagnostic tests were performed, including blood test (CBC, glycemic and lipid profile), ECG, echocardiography, X-ray imaging to obtain objective data regarding patient’s metabolic, cardiac and pulmonary status. Results. A 38-year-old male patient with anaphylactic shock and a history of chronic sinusitis. He was known for his history of hypotension. He weighs 90 kg, height 175 cm, BMI 29.4 kg/m2. His vital signs were 80/50 mmHg, 60bpm, 17 breaths/min, and SpO2 of 98%, temperature 36.6℃. Fasting blood glucose 8mmol/L. Normal hemoglobin, hematocrit, electrolytes and increase creatinine 121.9 µmol/dL, urea 14.29 mmol/L. ECG shows bradycardia, left ventricular hypertrophy and T wave abnormality. On radiography of chest the lung pattern is normal in appearance. Hilar pulmonary- structured. Costo-diaphragmatic pleural sinuses: free. Treatment plan: management of anaphylactic shock, fluid resuscitation, pharmacotherapy for hypotension. Conclusion. This research study will contribute to existing medical knowledge by documenting challenges and complexities associated with managing patients with anaphylactic shock and its complications.