[Renal replacement therapy in acute infectious renal insufficiency]

Area of Science:

• Nephrology
• Infectious Diseases
• Critical Care Medicine

Background:

• Renal failure is a serious complication of infectious diseases.
• Various renal replacement therapies (RRT) exist for managing kidney dysfunction.
• Integrated treatment approaches are crucial for patient outcomes.

Observation:

• A patient presented with severe renal failure secondary to tropical and 3-day malaria.
• The patient's condition necessitated intensive renal support.
• Standard treatment protocols for malaria were initiated.

Findings:

• High-flow intermittent hemofiltration (HIFH) was employed as a key RRT method.
• The patient demonstrated a positive clinical response to HIFH.
• Effective management of renal failure was achieved through this intervention.

Implications:

• This case highlights the efficacy of HIFH in managing infectious disease-related acute kidney injury.
• It underscores the importance of combining etiotropic and pathogenetic therapies.
• Findings suggest HIFH as a viable option for severe malaria-induced renal failure.