A 17-year-old male was admitted to a local hospital with complaints of vomiting, abdominal pain, and loose watery non bloody stools per 3 days. At the same time, he noticed a decrease in his urine output over the last 2 days. His past medical history was unremarkable. There was no history of ingesting undercooked meat, fever, ill contact, or taking any medication. He was the son of healthy non-consanguineous parents. On admission, hypotension and tachycardia was noted and physical examination was unremarkable. He had received intravenous fluid replacement for 2 days at this local hospital. Due to decrease in urine output and deterioration of his renal function (serum creatinine 4.6 mg/dl) with acidosis (pH 7.2, HCO3 10 mEq/l), the patient was transferred to our center

Ozkaya, Ozan (isu author)