Abstract

Cocaine abuse may contribute to the diverse forms of renal injury. We report a case of a pregnant woman who developed a large subcapsular renal haematoma after cocaine intoxication at 18-week gestation. She stabilized on conservative management and presented again at 29-week gestation with pre-eclampsia, acute renal failure and fetal demise. She required caesarean section delivery and intensive antihypertensive therapy to control severe pre-eclampsia associated with cocaine intoxication. This case is unique in that it is the first report of cocaine intoxication in pregnancy complicated by subcapsular haemorrhage. We discuss the possible mechanisms for the occurrence of this complication.

Details

Title
Spontaneous perinephric haemorrhage and acute renal failure in pregnancy due to cocaine intoxication
Author
Nzerue, Chike M 1 ; Carew, Kehinde 1 ; Faulkner, Marquetta 1 ; Torrente, Sandra 2 ; Fleming, Mary 2 

1  Department of Medicine, Nashville General Hospital, 1818 Albion Street, Nashville, TN, USA 
2  Department of Obstetrics and Gynecology, Nashville General Hospital, 1818 Albion Street, Nashville, TN, USA 
Pages
265-268
Publication year
2010
Publication date
Jun 2010
Publisher
Oxford University Press
ISSN
17530784
e-ISSN
17530792
Source type
Scholarly Journal
Language of publication
English
DOI
https://doi.org/10.1093/ndtplus/sfq015
ProQuest document ID
3170142923
Copyright
© The Author 2010. Published by Oxford University Press on behalf of ERA-EDTA. All rights reserved. For permissions, please e-mail: [email protected]. This work is published under http://creativecommons.org/licenses/by-nc/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.