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Case Records of the Massachusetts General Hospital

Case 31-2007 — A 41-Year-Old Man with Abdominal Pain and Elevated Serum Creatinine

Hamid Rabb, M.D.,
and Robert B. Colvin, M.D.

A 41-year-old man was admitted to the hospital because of abdominal pain, nausea, and an elevated serum creatinine level. Six days earlier, he had had chills and malaise and had taken ibuprofen. Symptoms persisted, and weakness, abdominal pain, nausea, and anorexia developed. He went to an emergency room, where elevated serum creatinine and urea nitrogen levels were noted. The urinary sediment contained granular casts.

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Funding and Disclosures

Dr. Rabb reports receiving consulting fees from Genzyme and having an equity interest and stock options in ACTx. Dr. Colvin reports receiving consulting fees from Genzyme and grant support from Novartis. No other potential conflict of interest relevant to this article was reported.

Author Affiliations

From the Nephrology Division, Johns Hopkins Hospital, and the Department of Medicine, Johns Hopkins University School of Medicine, Baltimore (H.R.); and the Department of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston (R.B.C.).

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