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Papers by Renan Diniz
Nephrology Dialysis Transplantation, Jun 1, 2020
Nephrology Dialysis Transplantation, 2020
Background and Aims High intensive sports athletes are under risk of muscular injuries and likely... more Background and Aims High intensive sports athletes are under risk of muscular injuries and likely renal damage secondary to it. As CrossFit is becoming more popular in last years, few consistent studies are available evaluating renal damage associated to this sport. The purpose of this study was to compare proteinuria levels between recreational and professional CrossFit athletes who were under training for a local competition. Method These athletes were invited to answer a survey. After this step, they were submitted to proteinuria analysis through urine dipstick reading. They also were divided into two groups (professional X recreational athletes) and the results were compared using chi-square test. Results A total of 99 athletes have concluded all the steps of the study. Among professional athletes, age average was 34.1 +3.9 year old, body mass index (BMI) 27.14 + 3.14 kg/m2 while in the recreational group the age average was 28.7 + 5.9 and BMI 26.49 + 4.56 kg/m2. Comparing prote...
Asian Pacific Journal of Tropical Medicine
Rationale: Dengue is the most important human arboviral disease. Neurological manifestations occu... more Rationale: Dengue is the most important human arboviral disease. Neurological manifestations occur rarely in dengue. To the best of our knowledge, there is only one reported case of dengue-associated sudden sensorineural hearing loss (SSNHL) in Brazil untill now. Patient concerns: A 42-year-old man was presented to the emergency department with unconsciousness and generalized tonic-clonic seizures. Diagnosis: Dengue-associated aseptic meningitis, acute kidney injury, and SSNHL. Interventions: The patient was treated with anticonvulsants and thiamine and underwent mechanical ventilation. He received combined ceftriaxone and acyclovir, which were later switched to meropenem, acyclovir and ampicillin empirically until culture results became available. He also required hemodialysis and plasmapheresis sessions and fresh frozen plasma and buffy coat transfusions until definitive diagnosis. Outcomes: The patient was discharged after improvement of his general condition and of his blood test results, but hearing loss remained. A six-month follow-up visit showed persistent deafness. Lessons: Dengue should be included in the differential diagnosis of patients from dengue-endemic areas presenting an acute febrile disease with neurological manifestations. To the best of our knowledge, this is the second reported case of dengue-associated SSNHL, suggesting an association between dengue and development of SSNHL.
Nephrology Dialysis Transplantation, Jun 1, 2020
Nephrology Dialysis Transplantation, 2020
Background and Aims High intensive sports athletes are under risk of muscular injuries and likely... more Background and Aims High intensive sports athletes are under risk of muscular injuries and likely renal damage secondary to it. As CrossFit is becoming more popular in last years, few consistent studies are available evaluating renal damage associated to this sport. The purpose of this study was to compare proteinuria levels between recreational and professional CrossFit athletes who were under training for a local competition. Method These athletes were invited to answer a survey. After this step, they were submitted to proteinuria analysis through urine dipstick reading. They also were divided into two groups (professional X recreational athletes) and the results were compared using chi-square test. Results A total of 99 athletes have concluded all the steps of the study. Among professional athletes, age average was 34.1 +3.9 year old, body mass index (BMI) 27.14 + 3.14 kg/m2 while in the recreational group the age average was 28.7 + 5.9 and BMI 26.49 + 4.56 kg/m2. Comparing prote...
Asian Pacific Journal of Tropical Medicine
Rationale: Dengue is the most important human arboviral disease. Neurological manifestations occu... more Rationale: Dengue is the most important human arboviral disease. Neurological manifestations occur rarely in dengue. To the best of our knowledge, there is only one reported case of dengue-associated sudden sensorineural hearing loss (SSNHL) in Brazil untill now. Patient concerns: A 42-year-old man was presented to the emergency department with unconsciousness and generalized tonic-clonic seizures. Diagnosis: Dengue-associated aseptic meningitis, acute kidney injury, and SSNHL. Interventions: The patient was treated with anticonvulsants and thiamine and underwent mechanical ventilation. He received combined ceftriaxone and acyclovir, which were later switched to meropenem, acyclovir and ampicillin empirically until culture results became available. He also required hemodialysis and plasmapheresis sessions and fresh frozen plasma and buffy coat transfusions until definitive diagnosis. Outcomes: The patient was discharged after improvement of his general condition and of his blood test results, but hearing loss remained. A six-month follow-up visit showed persistent deafness. Lessons: Dengue should be included in the differential diagnosis of patients from dengue-endemic areas presenting an acute febrile disease with neurological manifestations. To the best of our knowledge, this is the second reported case of dengue-associated SSNHL, suggesting an association between dengue and development of SSNHL.