Carrillo-Esper R, Pérez-Calatayud ÁA, Peña-Pérez CA, Díaz-Carrillo MA, Nava-López JA, de los Monteros-Estrada IE, Zepeda-Mendoza AD

Idioma: Español
Referencias bibliográficas: 19
Paginas: 602-606
Archivo PDF: 394.51 Kb.

RESUMEN

La microscopia del sedimento urinario es uno de los marcadores más utilizados en el diagnóstico de lesión renal aguda; sin embargo, no se ha validado en lesión renal aguda secundaria a sepsis. Se comunica el caso de dos pacientes con lesión renal aguda secundaria a sepsis en quienes se tomaron muestras de orina y se examinó el sedimento urinario. Evaluamos el puntaje de microscopia del sedimento urinario con base en la existencia de cilindros granulosos y de células epiteliales renales. Se realizaron determinaciones plasmáticas de nitrógeno ureico, creatinina y lipocalina de la gelatinasa del neutrófilo (NGAL). El puntaje de microscopia del sedimento urinario alto tuvo buena correlación con otros marcadores de disfunción renal, por lo que consideramos que la evaluación del puntaje de microscopia del sedimento urinario en pacientes con lesión renal aguda secundaria a sepsis es una herramienta valiosa.

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