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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 332:1083-1089 April 20, 1995 Number 16
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Case 12-1995— A 59-year-old diabetic man with acute renal failure and a pulmonary infiltrate
R.M. Black, and S.M. Meehan

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Presentation of Case

A 59-year-old man was admitted to the hospital because of possible pneumonia and acute renal failure.

He had a 17-year history of non-insulin-dependent diabetes mellitus that had been managed in recent years with glyburide, with reportedly good control; he was known to have retinopathy and had undergone laser treatments 5 years before admission. Two months before admission evaluation elsewhere showed that the 24-hour urinary excretion of protein was 3.7 g; the serum creatinine level ranged between 1.0 and 1.5 mg per deciliter (88 and 130 µmol per liter), and the creatinine clearance was 77 ml per minute. During the six . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Robert M. Black's Diagnosis

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Anatomical Diagnosis

References


Related Letters:

Case 12-1995: Acute Postinfectious Glomerulonephritis
Praga M., Black R. M.
Extract | Full Text  
N Engl J Med 1995; 333:524-525, Aug 24, 1995. Correspondence

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