Acute kidney injury in rural workers: An environmental-stress nephropathy

Autor: Carlos G. Musso, Gustavo Aroca-Martínez, Lil Avendaño-Echavez, Andrés Cadena-Bonfanti, Luis Castillo, Henry González-Torres, Juan C Conde, Elkin Navarro-Quiroz, William Peña-Vargas, Sandra Hernandez, María de los Ángeles Velez-Verbel, Rafael Perez, Angélica Sierra, Zenen Rua, Jorge Palmera, Sergio Terrasa
Jazyk: English<br />Spanish; Castilian
Rok vydání: 2023
Předmět:
Zdroj: Revista Colombiana de Nefrología, Vol 10, Iss 3 (2023)
Druh dokumentu: article
ISSN: 2500-5006
DOI: 10.22265/acnef.10.3.670
Popis: Introduction: Mesoamerican nephropathy is a tubule-interstitial nephropathy whose etiology is still unknown. However, clinical cases like Mesoamerican nephropathy have been described in other geographically distant and ethnically diverse regions. Still, they all have a common factor: the intensity of heat and rural physical labor. Objective: To study whether this entity could occur among rural workers in a non-Mesoamerican region with similar climatic and working conditions, in the Colombian Caribbean countryside, and to consider how much repetitive dehydration could weigh in its pathogenesis. Methodology: An observational study was carried out, based on field work in a farm in Sitio Nuevo (Colombia) with 28 rural worker volunteers (rice fields), who were measured for weight, blood pressure, and blood and urine samples to measure electrolytes and osmolarity, at 2 times of the day (morning and evening). Results: Of the 28 young men workers evaluated, 5 (18%) presented a significant increase in serum creatinine during the day (0.8±0.15 vs 1.2±0.17, p
Databáze: Directory of Open Access Journals