ACUTE RENAL FAILURE IN ASIATIC CHOLERA: CLINICOPATHOLOGIC CORRELATIONS WITH ACUTE TUBULAR NECROSIS AND HYPOKALEMIC NEPHROPATHY
Authors: Chanyo Benyajati, Muni Keoplug, William R. Beisel, Eugene J. Gangarosa, Helmuth Sprinz, Visith Sitprija
Journal: Annals of Internal Medicine (1960)

Article1 May 1960ACUTE RENAL FAILURE IN ASIATIC CHOLERA: CLINICOPATHOLOGIC CORRELATIONS WITH ACUTE TUBULAR NECROSIS AND HYPOKALEMIC NEPHROPATHYCHANYO BENYAJATI, M.D., MUNI KEOPLUG, M.D., WILLIAM R. BEISEL, EUGENE J. GANGAROSA, HELMUTH SPRINZ, F.A.C.P., VISITH SITPRIJA, M.D.CHANYO BENYAJATI, M.D., MUNI KEOPLUG, M.D., WILLIAM R. BEISEL, EUGENE J. GANGAROSA, HELMUTH SPRINZ, F.A.C.P., VISITH SITPRIJA, M.D.Author, Article, and Disclosure Informationhttps://doi.org/10.7326/0003-4819-52-5-960 SectionsAboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail ExcerptProgressive uremia has long been recognized as a late and often fatal complication of Asiatic cholera. In 1921, anuria in cholera was attributed by Rogers1to a fall in blood pressure leading to impaired circulation through the kidneys. Two decades later, Tomb2, 3stated that the renal pathologic changes in cholera resembled those seen in renal anoxia, a concept supported by Wilkinson4and by Maegraith et al.5De, Sengupta et al.6further clarified the pathogenesis by differentiating between the typical initial anuria of the hemoconcentrated cholera patient with circulatory collapse and the less common occurrence of true acute renal failure....Bibliography1. Rogers L: Bowel diseases in the tropics, 1921, Hodder and Stoughton, London. Google Scholar2. Tomb JW: Cholera and uraemia, J. Trop. Med. 44: 80, 1941. Google Scholar3. Tomb JW: Cholera and anuria, Tr. Roy. Soc. Trop. Med. and Hyg. 34: 229, 1942. CrossrefGoogle Scholar4. Wilkinson PB: Cholera in Hong-Kong, Lancet 2: 169, 1943. CrossrefGoogle Scholar5. MaegraithHavardParsons BGREDS: Renal syndrome of wide distribution induced possibly by renal anoxia, Lancet 2: 293, 1945. CrossrefGoogle Scholar6. 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CallawayRoemmich JJW: Lower nephron nephrosis: development of hypokalemia during recovery, Ann. Int. Med. 37: 784, 1952. LinkGoogle Scholar27. Perlmutter M: Unusual cases of acute tubular necrosis, Ann. Int. Med. 47: 81, 1957. LinkGoogle Scholar28. BeiselHerndonMyersStones WREGJEL: Acute renal failure as a complication of acute pancreatitis, Arch. Int. Med. 104: 539, 1959. CrossrefMedlineGoogle Scholar29. SwanMerrill RCJP: The clinical course of acute renal failure, Medicine 32: 215, 1953. CrossrefMedlineGoogle Scholar30. Sevitt S: Distal tubular necrosis with little or no oliguria, J. Clin. Path. 9: 12, 1956. CrossrefMedlineGoogle Scholar31. SchreinerBerman GELB: The clinical spectrum of post-partum acute renal insufficiency, Ann. Int. Med. 43: 1230, 1955. LinkGoogle Scholar This content is PDF only. To continue reading please click on the PDF icon. Author, Article, and Disclosure InformationAffiliations: *Received for publication August 28, 1959.From the Department of Medicine, Chulalongkorn Hospital Medical School, Bangkok, Thailand, the Department of Metabolism and the Department of Bacteriology, Walter Reed Army Institute of Research, and Walter Reed Army Hospital, Washington, D. C.Requests for reprints should be addressed to William R. Beisel, Major (MC), Chief, Department of Metabolism, Walter Reed Army Institute of Research, Walter Reed Army Medical Center, Washington 12, D. C. 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GREENOUGH III, M.D., HELMUTH SPRINZ, ROBERT OSEASOHN, M.D.The role of bicarbonate pathophysiology and therapy in Asiatic choleraPOTASSIUM IN THE TREATMENT OF CHOLERA 1 May 1960Volume 52, Issue 5Page: 960-975KeywordsAcute renal failureBacteriologyBlood pressureCholeraDiarrheaFallsHospital medicineKidneysNecrosisPathogenesis ePublished: 1 December 2008 Issue Published: 1 May 1960 PDF downloadLoading ...