Saudi Journal of Kidney Diseases and Transplantation

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


Pathum Sookaromdee1, Viroj Wiwanitkit2,  
1 TWS Medical Center, Bangkok, Thailand
2 Department of Biological Science, Joseph Ayobabalola University, Ilara-Mokin, Nigeria

Correspondence Address:
Dr. Pathum Sookaromdee
TWS Medical Center, Bangkok
Thailand




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;29:1249-1249


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 2021 Apr 22 ];29:1249-1249
Available from: https://www.sjkdt.org/text.asp?2018/29/5/1249/243948


Full Text

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

1Wetschler M, Radler D, Christensen M, Lipman G. Biochemistry in endeavor adventure racers study (BEARS). Cureus 2017;9:e1024.
2Mortimer RB. Leptospirosis in a caver returned from Sarawak, Malaysia. Wilderness Environ Med 2005;16:129-31.
3Wharton DR, Mortimer RB. Rhabdomyolysis after prolonged suspension in a cave. Wilderness Environ Med 2011;22:52-3.