Difficulty in Breathing with Decreased Urine Output in Sao Paulo, Brazil

摘要

Dr. de Souza Durao: A 57-year-old male was admitted to the hospital complaining of fatigue and difficulty in breathing for the past day.A nephrological consultation was requested due to acute kidney injury (AKI) and oliguria.The patient was feeling well until 8 days previously when he developed a fever, a cough and expectoration. At that time, his doctor established an outpatient treatment with intramuscular ceftriaxone and oral moxifloxacin due to a diagnosis of pneumonia. The patient, who is a married diplomat residing in the city of Sao Paulo, Brazil, did not report any recent travel or contact with sick people. The patient has a history of hypertension and had a radical prostatectomy 3 years ago due to adenocarcinoma of the prostate. The urological control prior to admission was normal. The patient was currently taking amlodipine and atenolol.