비전격 급성 A형 간염환자에서 4개월간 지속된 급성 신부전 1예

Abstract

Non-fulminant hepatitis A viral infection is rarely associated with renal abnormalities. The acute renal failure caused by acute hepatitis A, typically, has a short, benign course, and is rarely prolonged. An unusual case of a 29-year-old male with serologically proven acute hepatitis A infection, complicated by protracted acute oliguric renal failure, is presented. The patient recovered and the laboratory parameters returned to normal four months after the initial hospitalization. A renal biopsy revealed typical findings of acute tubular necrosis; continuous renal replacement therapy and intermittent hemodialysis were necessary. (Korean J Med 75:S885-S888, 2008) Key Words: Hepatitis A; Kidney failure, Acute; Renal replacement therapy