alexa Sequential Serum Phosphate and Urinary Biochemical Chan
ISSN: 2168-9784

Journal of Medical Diagnostic Methods
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Case Report

Sequential Serum Phosphate and Urinary Biochemical Changes in Postoperative Systemic Inflammatory Response Syndrome: Potential Additional Diagnostic Tools in Acute Kidney Injury

Alexandre Toledo Maciel1,2* and Daniel Vitorio1
1Intensimed Research Group, Intensive Care Unit, Hospital São Camilo Pompéia, São Paulo, Brazil
2Intensive Care Unit, Department of Medical Emergencies, Hospital das Clínicas University of São Paulo, São Paulo, Brazil
Corresponding Author : Alexandre Toledo Maciel
Intensimed Research Group, Intensive Care Unit
Hospital São Camilo Pompéia ZIP 05024-000, São Paulo, Brazil
E-mail: [email protected]
Received April 07, 2014; Accepted June 27, 2014; Published June 29, 2014
Citation: Toledo Maciel A, Vitorio D (2014) Sequential Serum Phosphate and Urinary Biochemical Changes in Postoperative Systemic Inflammatory Response Syndrome: Potential Additional Diagnostic Tools in Acute Kidney Injury. J Med Diagn Meth 3:160. doi:10.4172/2168-9784.1000160
Copyright: © 2014 Toledo Maciel A, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
 

Abstract

Systemic inflammatory response syndrome (SIRS) is frequent after major surgery and may lead to multiple organ failure. Many classical parameters such as leukocytes and platelets count, lactate and c-reactive protein are measured sequentially during SIRS in order to quantify the severity of the inflammatory/metabolic stress. Blood urea nitrogen and creatinine are usually assessed to evaluate renal function since acute kidney injury (AKI) is a frequent complication of SIRS. The aim of this case report is to describe sequential serum phosphate and sodium and potassium measurement in urine in parallel with AKI development and recovery. The aim is to suggest that these parameters may help in AKI monitoring in the context of SIRS.

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