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Revista Cubana de Pediatría

On-line version ISSN 1561-3119

Abstract

DURAN ALVAREZ, Sandalio. Complicaciones agudas del síndrome nefrótico. Rev Cubana Pediatr [online]. 1999, vol.71, n.4, pp. 245-253. ISSN 1561-3119.

We briefly reviewed the nephrotic syndrome complications that sometimes emerge suddenly and unexpectedly and that may put the patient's life at risk. Infections are the most common complications mainly caused by primary peritonitis. We analized infections that may occur in inmunosuppresed patients and reviewed the thromboembolic complications; we also underlined the importance of trauma as precipitating factors of arterial thrombosis and the implied high risk for life or affected member. We similarly made an analysis of hypovolemia in some patients and the hypovolemic shock that might occur. Finally, we present an unfrequent but serious complication, i.e, acute reversible idiopathic renal failure and the likely mechanisms explainig this complication. The prophylactic and therapeutical management of all the described complications are briefly analyzed.

Keywords : NEPHROTIC SYNDROME [complications]; PERITONITIS [therapy]; PERITONITIS [etiology]; THROMBOEMBOLISM [etiology]; THROMBOEMBO-LISM [therapy]; SHOCK [etiology]; KIDNEY FAILURE, ACUTE [etiology]; KIDNEY FAILURE, ACUTE [therapy].

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