2023, Number 2
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Arch Inv Mat Inf 2023; 14 (2)
Neonatal renal injury secondary to maternal antihypertensive therapy: a case report
Rodríguez-Balderrama I, Castillo-Uvalle D, Cárdenas-Del CBG
Language: Spanish
References: 10
Page: 79-82
PDF size: 141.79 Kb.
ABSTRACT
Introduction: the kidney is the organ in charge of homeostasis in extrauterine life. The RAS (renin angiotensin system) has a fundamental role during fetal organogenesis and especially in kidney development. Renal failure can originate within the uterus, prenatal causes include maternal consumption of angiotensin-converting enzyme inhibitors (ACE inhibitors), angiotensin II receptor blockers (ARBs) and can also produce oligohydramnios, fetal growth restriction, among others. others.
Case report: this is a newborn whose intrauterine growth restriction and oligohydramnios were detected at birth, who was subsequently admitted to the neonatal intensive care unit due to acute kidney injury.
Conclusion: treatment with ARBs during the second and third trimester of pregnancy is associated with serious complications in the neonate from the prenatal period such as oligohydramnios, an hydramnios, renal failure, anuria, to mention a few.
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