Yaguo et al
Greener Journal of Medical Sciences Vol. 5 (3), pp. 043-047, June 2015.
Manuscript Number: 030815041
Renal function of post neonatal tetanus cases as seen in University of Port Harcourt Teaching Hospital
1Department of Paediatrics and Child Health, University of Port Harcourt Teaching Hospital. Port Harcourt, Rivers State, Nigeria, West Africa P.M.B 6173. E-mail: firstname.lastname@example.org,
2Department of Radiology, University of Port Harcourt Teaching Hospital. Port Harcourt, Rivers State, Nigeria, West Africa P.M.B 6173. E-mail: email@example.com
3Department of Paediatrics and Child Health, University of Port Harcourt Teaching Hospital. Port Harcourt, Rivers State, Nigeria, West Africa P.M.B 6173. E-mail: firstname.lastname@example.org
Corresponding Author’s Email: email@example.com, phone: +2348109864336
Background: Acute kidney injury (AKI) is a known complication of tetanus and contributes to morbidity and mortality among children with tetanus. The aim of this study was to ascertain the renal functions in patients with post neonatal tetanus over a 4year peroid.
Methods: All cases of post neonatal tetanus admitted into the department of Paediatrics UPTH between October 2009 to April 2013 were recruited and studied. The renal function studies done included urinalysis, serum electrolytes, urea and creatinine, renal ultrasound scan and fluid input and output monitoring.
Results: 17 cases of post neonatal tetanus were studied. There were 9(53%) males and 8(47%) females giving a male female ratio of 1.1:1. The ages of the patients ranged from 2-16years with a mean age of 9.81±4.4years. Most cases were above 5years of age(13(76.5%). Of the 17 cases only 2(11.8%) were fully immunised. The mean laboratory values were: serum creatinine 55.8±4.9umol/L, urea 2.5±1.1mmol/L, sodium 132.8±3.3mmol/L, potassium 3.6±0.7mmol/L and bicarbonate 22.3±4.9mmol/L which were all within the normal range for our laboratory. The urinalysis and renal ultrasound findings were also normal. None of our patient had oliguria.
Conclusion: AKI as a complication of post neonatal tetanus is uncommon in paediatric patients.
Key words: Post neonatal tetanus, Children, Renal function.
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