He was diagnosed as having CMV colitis by examination of the resected specimen, and we used gancyclovir to treat this infection. Subsequently, his renal function recovered and he no longer required hemodialysis on the 22nd day. He was discharged on the 30th day. Conclusion: It is noteworthy that CS is a complication of PCPS and that massive blood transfusion can cause CMV infection.

LIM LEE-MOAY1, KUO MEI-CHUAN1,2, HUNG CHI-CHIH1, TSAI YI-CHUN1, CHIU YI-WEN1,2, CHEN HUNG-CHUN1,2 1Division of Nephrology, Department of Internal Birinapant chemical structure Medicine, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan; 2Faculty of Renal Care, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan BMN 673 research buy Introduction: Fluid overload is frequently seen in critical ill patient especially those with acute kidney injury (AKI). AKI patients who required renal replacement therapy have different short-term and long-term outcomes, including the recovery of renal function and free from dialysis treatment. The aim of this study was to analyze the impact of fluid overload

and renal outcomes in AKI patients receiving renal replacement therapy. Methods: All AKI patients receiving emergent hemodialysis treatment in the dialysis unit of KMUH from February 1st, 2010 till March 30th, 2012 were included. Volume status of each patient was measured using a Body Composition Monitor (BCM). This procedure was conducted just before

the AKI patient received their 1st hemodialysis treatment. AKI was defined according to the RIFLE classification, utilizing the serum creatinine criteria. Baseline creatinine was the nadir serum creatinine level value 30 days before the index admission. Patients were divided into tertiles according to their OH/Body weight (BW) measurements. The primary outcome was recovery of renal function to dialysis independent during the index 5-Fluoracil order admission. Results: A total of 67 patients were included in this study. The mean age of our patients were 71.32 ± 13.68 years-old. Patients with higher OH/BW values were younger; most with diabetes mellitus, much lower in serum white blood cell count and albumin level. Higher body mass index and lower serum albumin were related to over-hydration in our patients. Fluid overload is prominent in patients with non-recovery in renal function with odd ratios of 8.04 (95% CI: 1.02–63.41, P < 0.05). Conclusion: Fluid balance should be regarded as a potentially valuable biomarker in critical illness, particularly in patients with AKI. Volume status evaluation by BCM provides a more accurate measurement of fluid status and prompt diagnosis of fluid overload in AKI patients.