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Previous Volume 359:951-960 August 28, 2008 Number 9 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

A 64-year-old man was admitted to the hospital because of abdominal pain, nausea, and an elevated level of serum creatinine. The patient had been in his usual state of health until 4 months before admission, when he was admitted to this hospital for 10 days because of abdominal pain. Acute pancreatitis and gastritis due to Helicobacter pylori were diagnosed. His symptoms diminished minimally after treatment with amoxicillin, metronidazole, and a proton-pump inhibitor and a shift to a bland diet. During the next 2 months, he was evaluated repeatedly by gastroenterologists, visited the emergency department multiple times because of abdominal pain, . . . [Full Text of this Article]

Differential Diagnosis

Prerenal Azotemia

Postrenal Acute Kidney Injury

Intrinsic Renal Disease

Acute Renal Failure and Pancreatitis

Acute Interstitial Nephritis Due to Proton-Pump Inhibitors

Nephropathy Due to Oral Sodium Phosphate Solution

Clinical Diagnosis

Dr. Theodore I. Steinman's Diagnosis

Pathological Discussion

Anatomical Diagnosis

Source Information

From the Renal Division, Beth Israel Deaconess Medical Center (T.I.S.); the Departments of Radiology (A.E.S.) and Pathology (L.D.C.), Massachusetts General Hospital; and the Departments of Medicine (T.I.S.), Radiology (A.E.S.), and Pathology (L.D.C.), Harvard Medical School — all in Boston.

Related Letters:

Case 27-2008: A Man with Abdominal Pain, Nausea, and an Elevated Creatinine Level
Martínez-Marcos F. J., Franco-Huerta M., Díaz-Acevedo S., Steinman T. I., Samir A.
Extract | Full Text | PDF  
N Engl J Med 2008; 359:2501, Dec 4, 2008. Correspondence

This article has been cited by other articles:

• Martinez-Marcos, F. J., Franco-Huerta, M., Diaz-Acevedo, S., Steinman, T. I., Samir, A. (2008). Case 27-2008: A Man with Abdominal Pain, Nausea, and an Elevated Creatinine Level. NEJM 359: 2501-2501 [Full Text]