Acute renal failure: An unacceptable death sentence globally

摘要

A 28-year-old male plantation worker in Bolivia, the father of two young children, was admitted to hospital with, a history of vomiting, diarrhoea, and fever, causing severe dehydration. He had a serum creatinine of 396 mumol/L Despite vigorous intravenous and oral fluid replacement, his creatinine worsened to 598 |imol/L Gravity-driven peritoneal dialysis was available at the hospital. The patient was treated and, in a few days, his renal function recovered. He was discharged with a serum creatinine of 123 mumo!/L and returned to work in his rural area, his income being the only support for the family. Thanks to peritoneal dialysis, he survived to see his children grow, and maybe even become doctors.