Cocaine-induced renal artery dissection and thrombosis leading to renal infarction.

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Abstrakt

Tytuł:: Cocaine-induced renal artery dissection and thrombosis leading to renal infarction.
Autorzy:: Edmondson DA; Medical College of Wisconsin, Milwaukee 53226, USA.
Towne JB
Foley DW
Abu-Hajir M
Kochar MS
Źródło:: WMJ : official publication of the State Medical Society of Wisconsin [WMJ] 2004; Vol. 103 (7), pp. 66-9.
Typ publikacji:: Case Reports; Journal Article
Język:: English
Imprint Name(s):: Publication: 2019- : Madison, WI : Milwaukee, WI : University of Wisconsin School of Medicine and Public Health ; Medical College of Wisconsin
Original Publication: Madison, WI : State Medical Society of Wisconsin, c1997-
MeSH Terms:: Aortic Dissection/*chemically induced
Cocaine/*toxicity
Cocaine-Related Disorders/*complications
Infarction/*chemically induced
Kidney Diseases/*chemically induced
Renal Artery Obstruction/*chemically induced
Thrombosis/*chemically induced
Adult ; Humans ; Kidney/blood supply ; Male ; Thrombolytic Therapy
Substance Nomenclature:: I5Y540LHVR (Cocaine)
Entry Date(s):: Date Created: 20050209 Date Completed: 20050310 Latest Revision: 20221207
Update Code:: 20240104
PMID:: 15696837
: Czasopismo naukowe

We present the case history of a 40-year-old man who developed renal artery dissection and thrombosis, probably due to cocaine use. The patient underwent exploratory laparotomy and thrombectomy. He remained asymptomatic and cocaine-free, and warfarin was discontinued 9 months after discharge. Approximately 12 months after discharge he returned to the hospital with symptoms very similar to previous episodes. He was found to have recurrent clot formation in the right renal artery. Further workup revealed a double heterozygous methyltetrahydrofolate reductase A1298C/C677T thermolabile polymorphism with an elevated serum homocysteine.

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