Right Renal Vein Thrombosis With Post Reversible Encephalopathy Syndrome With Right Atrophic Kidney in a Neonate

Abstract

A 14-day male child with apparently normal birth history was brought with history of faulty feeding followed by high-grade fever and gross haematuria since 4-5 days with decreased feeding. The baby came to us with signs of dehydration and rapid breathing with signs of sepsis. Clinical examination was suggestive of large palpable right kidney. Baby was admitted with us for dehydration and treatment with IV fluids was given. Initial investigations were suggestive of thrombocytopenia with positive CRP, raised BUN and creatinine and deranged coagulation profile with hypernatraemia. IV antibiotics were given for management of septicaemia. The baby required prolonged antihypertensives for control of blood pressure during the total stay of 1 month. The coagulation profile was altered for long duration. We planned to continue antihypertensives and heparin for 3 to 6 months with regular monitoring. Our patient is now three months old with well controlled blood pressure. We were successfully able to stop antihypertensives at 3 months of age.