Abstract
Introduction
The main factor that influences the high rates of mortality and morbidity within developing nations is diarrhoeal diseases. However, acute diarrhoeal diseases are also prevalent within nations that maintain high sanitary levels.1
Acute gastroenteritis i.e. acute inflammation of gastrointestinal tract involves both the stomach ("gastro") and the small intestine ("entero") resulting in different combinations of diarrhoea with vomiting, fever and abdominal pain.2
Acute kidney injury is rapid deterioration in renal function resulting in accumulation of metabolic waste, sufficient to cause uraemia, following variety of insults to previously normal kidneys.3
Several factors affect prognosis of acute kidney injury like oliguria, a rise in serum creatinine greater than 3 mg%, older debilitated patients, multi organ failure, associated co-morbid conditions, need for dialysis, suspected or proven sepsis.4
The auto regulatory response normally renders an individual relatively resistant to prerenal forms of acute renal failure; however, a marked decrease in renal perfusion pressure below the auto regulatory range can lead to an abrupt decrease in GFR and lead to acute kidney injury.5
References
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3. Chijioke A, Makusidi AM. Severe Acute kidney Injury in Adult Nigerians from University of ILORIN Teaching Hospital, Ilorin, Kwara State. BOMJ 2011;8:1.
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5. Dr. Nagamani R, Dr. Sudarsi K, Dr. Amaravati KS, Dr. Musa K, Dr. Sakuntala P, Dr. Deepthi. A Study on Clinical Profile of Acute Kidney Injury. International Journal of Scientific and Research Publications 2015;5:7:1-5.
6. Shahzad FH, Khan AS, Chughtai AM, Gupta V. Revrsible Factors In Acute Renal Failure. Medicine Update 2010 Vol. 20.
7. Khakurel S, Satyal PR, Agrawal RK, Chhetri PK, Hada R. Acute Renal Failure In A Tertiary Care Center In Nepal. J Nep Med Assoc 2005; 44: 32-35.
8. Mamun M, Maj AN, Md Amzad HF, Md Abdul QB, Akm MR. Presentation And Outcome Of Acute Kidney Injury In A Tertiary Military Hospital Of Bangladesh. Bangladesh J Medicine 2011; 22 : 35-40.
9. Zollner-Schwetz and Krause R. Therapy of acute gastroenteritis: role of antibiotics. Clin Microbiol Infect 2015; 21: 744–749.
Corresponding Author
Dr Vidur Joshi
M.D. Emergency Medicine
A-103, Phase 1, P.G. Hostel, Civil Hospital Campus, Asarwa, Ahmedabad-380007
9913353367, Email: This email address is being protected from spambots. You need JavaScript enabled to view it.
DOI: https://dx.doi.org/10.18535/jmscr/v5i6.114
