Four cases of postrenal renal failure induced by renal stone associated with rotavirus infection

Clin Nephrol. 2010 May;73(5):398-402. doi: 10.5414/cnp73398.

Abstract

Rotavirus (RV) is a common pathogen that causes acute gastroenteritis in childhood. Some cases with RV infection also have prerenal renal failure induced by dehydration associated with vomiting and diarrhea. Here, we report 4 patients with RV infection who developed postrenal renal failure induced by urinary tract obstruction with uroammoniac calculi or crystals. The patients did not have metabolic disorders or abnormalities of the urinary tract, and increased urinary excretion of uric acid was not recognized at discharge. In addition, no abnormalities in the uric acid transporter (URAT1) were found in any of the patients. Uric acid stone formation was considered to have originated from the low pH caused by dehydration and the increase of urinary uric acid excretion from damaged cells.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / diagnosis
  • Acute Kidney Injury / therapy
  • Acute Kidney Injury / virology*
  • Female
  • Gastroenteritis / complications*
  • Gastroenteritis / therapy
  • Gastroenteritis / virology
  • Humans
  • Infant
  • Kidney Calculi / diagnosis
  • Kidney Calculi / etiology*
  • Kidney Calculi / therapy
  • Male
  • Rotavirus Infections / complications*
  • Rotavirus Infections / diagnosis
  • Rotavirus Infections / therapy