HUSSAIN ALI-A Young Guy Recovers from Kidney Failure

2015-10-08 08:10

Patient: HUSSAIN ALI, Male, 20-year old, Unmarried, from Oman

Illness condition: High serum creatinine for 3 years and becomes serious in last month.

He was in hospitalization in Shijiazhuang Hetaiheng Hospital on 27th, June, 2015, 3:55 pm.

1. Test report of 6/28/2015: serum creatinine level is 879umol/L

2. Test report on 7/2/2015: serum creatinine level is 932 umol/L

3. Test report on 7/7/2015: serum creatinine level is 826umol/L

4. Test report on 7/12/2015:serum creatinine is 479 umol/L.

Diagnosis and Our treatment

Symptoms: High creatinine level remains for 3 years and elevates in last month.

Test in local hospital in 2012:

· Urinalysis: protein ++, occult blood –

· Serum creatinine: 500umol/L

· Ultrasound of kidney: both kidneys are smaller than normal range

Test result in May, 2015:

· RBC: 3.26×1012/L

· Hemogloblin: 70g/L

· Serum creatinine: 1200umol/L

· Blood urea:500umol/L。

End stage of chronic glomeruloneohritis, renal anemia and secondary hyperuricemia.

Test result when he was addmitted in Shijiazhuang Hetaiheng Hospital：

· RBC: 4.04×1012/L

· Hemoglobin: 107g/L

· Urinalysis：protein +, occult blood -,

· Microscopic examination: leukocyte 20-30/HPF

· Electrolyte：leukocyte 93.4mmol/L, calcium 1.79mmol/L, total carbon dioxide 14.2mmol/L, potassium 4.22mmol/L

· Seven readings of kidney function：BUN 43mmol/L, serum creatinine 879umol/L, uric acid 483umol/L

· Blood coagulation：D-Dimer 16.15mg/L FEU, fibrinogen 3.34g/L, PTH 1463pg/ml

· Iron metabolism：TIBC (Total Iron Binding Capacity ) 39.3umol/L，ferritin 251.7ug/L、erythrocyte sedimentation rate (ESR) 50mm/h

·Urine protein components：24-hour urine protein 239mg/L, microalbuminuria 120mg/L、microalbuminuria/urine creatinine 198mg/g cr,TRF 5.9mg/L, TRU G 21.9mg/L, urinary α1 -microglobulin 64.5mg/L, rinary α1 -microglobulin/urine creatinine 106.29mg/g cr，urinaryβ2 microglobulin23.9mg/L，RBP 16.96mg/L, NAG/creatinine 24.72U/g cr，NGAL 419ng/ml

· Immunity: immunoglobulin M0.21g/L,complementC1q108mg/L, complementC3 0.83g/L24-hour urinary protein quantity0.44g,Ccr6.74ml/min

· Abdominal ultrasonography：right kidney is 70×37×33mm,left kidney is71×40×31mm,thick ，bilateral renal parenchymal echo enhancement, diffuse damage

· CDFI：reduced blood flow signals on bilateral kidneys

Diagnosis: Bilateral diffuse renal damage, both kidneys shrink.

Added diagnosis: metabolic acidosis, secondary hyperparathyroidism

Treatment

· For acidosis: 100ml 5% Sodium Bicarbonate injection a drip each day;

Sodium Bicarbonate Tablets 1.03/day

· Adjust calcium-phosphorus metabolism: Calcium Carbonate Chewable Tablets 1.25 3/day

· For Anemia: Folic Acid Tablets 5mg1/day, Iron sucrose Injection 100mg 2/week, Recombinant Human Erythropoietin Injection 3000IU 2/week

· Reduce urea: Febuxostat Tablets 40mg 1/two days

· Necessary amino acid supplement: Compound keto acid Tablets 1.89 3/day

Traditional Chinese Medicine Treatment

· Danshen Chuanxiongqin injection 10 ml for a drip/day to improve mirco blood circulation

· Shenshuanning Tablets 1.08 3/day

· Micro-Chinese Medicine Osmotherapy

· Foot Bath

· Oral Chinese medicine to reduce blood clots and remove toxins

· Hemodialysis with catheterization on right femoral vein

Duration of hospitalization is 18 days, a short time due to finiancial issue.

Time of addimission of hospital: 6/27/2015, 3:55 pm

Time of discharge from hospital: 7/15/2015, 8:00 am

Hope you can get better like him. Any questions, add me on Whatsapp 008615512139310.

Director of International Department：Dr.John

Date：10/4/2015

• Tag: Kidney Failure Treatment Kidney Failure Treatment
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