運動誘発急性腎不全の1例

A CASE OF EXERCISE-INDUCED ACUTE RENAL FAILURE

　患者は21歳の男性で，発熱と嘔気があり近医にて投薬を受けランニングを行ったところ，嘔吐，上腹部痛，腰痛が出現した。5日後上腹部痛が強く某病院へ入院し，蛋白尿，顕微鏡的血尿，血清クレアチニン9．lmg／dlより急性腎不全と診断された。翌日より血清クレアチニンは下降し，約2週間後正常値となった。経過中乏尿や黒っぽい尿はみなかった。

　症状や経過がIshikawaら^1）の述べる運動誘発急性腎不全に相当すると思われ報告^1）し，文献的考察を行う。

A 21-year-old student, with fever and general malaise, was given medicine. After he ran a short distance, he noticed nausea, vomitting and upper abdominal and loin pain. 5 days later he visited a hospital due to sustained upper abdominal pain. Proteinuria, microhematuria and elevated serum creatinine (9.1mg/dl) were pointed out and he was diagnosed as acute renal failure. But serum creatinine began to decrease rapidly from the second day of admission and normalized on the 14th day. During the course he noticed no oliguria nor dark urine.

We dignosed him as exercise induced-acute renal failure which was proposed by Ishikawa et al.