background serum creatinine as a classic marker of renal function has several limitations in the detection of renal dysfunction. objectives this study assessed the validity of serum cystatin c as a marker of renal function in critically ill patients with normal serum creatinine. patients and methods eighty adult patients referred to intensive care units with serum creatinine levels < 1.5 mg/dl ...

background: acute kidney injury (aki) is a common problem in critically ill patients and is independently associated with increased morbidity and mortality. recently, serum cystatin c has been shown to be superior to creatinine in early detection of renal function impairment. we compared estimated gfr based on serum cystatin c with estimated gfr based on serum creatinine for early detection of ...

background: hair dye poisoning, with main toxic component paraphenylene diamine, is a medical emergency. it is on increasing trend in developing countries due to wide availability and low cost of hair dyes. it carries a high mortality and does not have any specific antidote. case report:  twenty three years old patient presented with breathelessness along with difficulty in speaking for one hou...

conclusions aki is common in urology patients. the underlying aetiologies of aki in this group may explain a lower overall mortality, although increasing aki severity remains a marker of patients at higher risk of poor outcomes. the low rate of renal recovery suggests that urology patients who sustain aki are exposed to a significant risk of ckd and its attendant consequences for long term heal...

background exertional heat stroke (ehs) is still a main cause of death in sport. many of ehs complications could have been prevented if ehs had been recognized and treated early and properly. case presentation we report an unusual case of multiple organ failure caused by ehs due to intensive sportive activities in a hot environment with lack of primary care. a 35-year-old healthy sportive man w...

results there were no significant differences between the 4 groups in white blood cell count, hemoglobin, hematocrit, and esr at baseline (p > 0.05). the number of platelet units was remarkably higher, but the number of mpv and hco3 was considerably lower in patients with loss/ failure criteria. conclusions mpv is higher in the case of platelets destruction, and this is commonly observed in inf...

background: wasp stings are quite commonly observed in bangladesh though they are under reported. however, rhabdomyolysis following multiple wasp stings is a rare entity. case report: a middle aged physician was stung by a swarm of wasps at multiple sites of the body. he felt severe pain at the sites of the stings and was primarily treated with intravenous hydrocortisone and chlorpheniramine. w...

dendrobium genus was reported to contain alkaloid, bibenzyl, fluorenone, phenanthrene, sesquiterpenoid, and phenolic acid, which have biological properties. our aim was to investigate the protective effect of an aqueous extract of dendrobium nobile lindl (dne) against cisplatin-induced acute kidney injury (aki). quantification of four phenolic acids (4-hydroxybenzoic, vanillic, syringic, and fe...

introduction: acute kidney injury (aki) is a common postoperative complication of cardiac surgery, which is associated with an increased risk of morbidity and mortality. this study investigated the frequency of postoperative aki in low risk adult patients undergoing off-pump coronary artery bypass grafting (cabg).materials & methods: all consecutive adult patients of american society of anesthe...

background: immunotherapy is the only specific treatment for scorpion envenomation. in the present study, the protective effects of polyvalent antivenom against histopathological complications in kidneys and marker changes (bun and creatinine) induced by mesobuthus eupeus (me) scorpion venom was investigated in anesthetized rabbits. methods: twenty four rabbits were randomized into four groups:...