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Saudi Journal of Kidney Diseases and Transplantation
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Table of Contents   
LETTER TO THE EDITOR  
Year : 2018  |  Volume : 29  |  Issue : 5  |  Page : 1249
Acute renal failure related to cave visit: Evidence in literature and observation on the cave trapped victims in Thailand, 2018


1 TWS Medical Center, Bangkok, Thailand
2 Department of Biological Science, Joseph Ayobabalola University, Ilara-Mokin, Nigeria

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Date of Submission19-Jul-2018
Date of Acceptance25-Jul-2018
Date of Web Publication26-Oct-2018
 

How to cite this article:
Sookaromdee P, Wiwanitkit V. Acute renal failure related to cave visit: Evidence in literature and observation on the cave trapped victims in Thailand, 2018. Saudi J Kidney Dis Transpl 2018;29:1249

How to cite this URL:
Sookaromdee P, Wiwanitkit V. Acute renal failure related to cave visit: Evidence in literature and observation on the cave trapped victims in Thailand, 2018. Saudi J Kidney Dis Transpl [serial online] 2018 [cited 2018 Nov 15];29:1249. Available from: http://www.sjkdt.org/text.asp?2018/29/5/1249/243948
To the Editor,

Acute renal failure due to the adventure activity is an interesting topic. As noted by Wetschler et al, the stressful and hard activities during an adventurous event might induce acute renal injury, and the problem is not uncommon among the adventure sports athletes.[1] Of several adventures, cave visit or caving is a worldwide adventurous activity. The acute renal failure related to cave visit is seldom mentioned in the literature. Indeed, there are several possible causes of caverelated acute renal failure. The cave-related infection, especially leptospirosis, is the main probable cause of acute renal failure after cave visit.[2] In some specific rare cases, unexpected accident during caving, such as hanging on for a long time due to the failure of ascending rope, can result in rhabdomyolysis associated acute renal failure.[3] Therefore, the investigation for possible renal problem is needed in any patient with health problem after cave visit. For example, in 2018, there was a big event of being trapped of 13 persons in a cave in Thailand. The cave trapped victims had to live on starvation stage for a very long time before being successfully rescued. The successful rescuing took more than 10-day period. Nevertheless, the complete examination of those cave trapped victims showed evidence of acute renal failure.

Conflict of interest: None declared.

 
   References Top

1.
Wetschler M, Radler D, Christensen M, Lipman G. Biochemistry in endeavor adventure racers study (BEARS). Cureus 2017;9:e1024.  Back to cited text no. 1
    
2.
Mortimer RB. Leptospirosis in a caver returned from Sarawak, Malaysia. Wilderness Environ Med 2005;16:129-31.  Back to cited text no. 2
    
3.
Wharton DR, Mortimer RB. Rhabdomyolysis after prolonged suspension in a cave. Wilderness Environ Med 2011;22:52-3.  Back to cited text no. 3
    

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Correspondence Address:
Dr. Pathum Sookaromdee
TWS Medical Center, Bangkok
Thailand
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DOI: 10.4103/1319-2442.243948

PMID: 30381532

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