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spontaneous tumor lysis Syndrome Secondary to Iatrogenic Acute Kidney Injury: A Case Report

Case Reports in Clinical Medicine 2024年第5期13卷 155-161页

作者： Joseph Capito Mitchell Hoyson Amie M. Ashcraft Hassan Suleiman Courtney S. Pilkerton Department of Family Medicine West Virginia University Morgantown WV USA Department of Clinical Family Medicine University of Rochester Medical Center Rochester NY USA Departments of Critical Care Medicine & Nephrology Mount Sinai New York City NY USA

spontaneous tumor lysis Syndrome (STLS) is a rare oncologic condition caused by the breakdown of neoplastic tissue in the absence of traditional anti-tumor therapy. It is postulated that cancers with rapidly dividing cells lead to increased cell turnover which exceeds the kidneys’ ability to adequately filtrate by-products of cellular breakdown (i.e., phosphate, potassium, anduric acid), leading to end organ damage. It has been reported in the past that kidney failure is a sequelae of tumor lysis Syndrome (TLS), but there have been no reports that demonstrate acute kidney injury (AKI) preceding TLS. The case presented here demonstrates TLS in a patient with no formal cancer diagnosis, who had received no chemotherapy or radiation that was precipitated by an iatrogenic AKI with chlorthalidone and ibuprofen. This unusual pattern of AKI preceding STLS may provide insight into the pathophysiology of the condition and could possibly lead to greater understanding of this phenomenon.

关键词： spontaneous tumor lysis Acute Kidney Injury Lymphoma Chlorthalidone NSAID

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