Hepatorenal Syndrome Precipitated by Pneumonia in Patients with Chronic Liver Disease - A Case Report

Hepatorenal syndrome (HRS) is defined as a potentially reversible kidney failure in patients with cirrhosis and ascites. It is characterized by a marked reduction in glomerular filtration rate (GFR) and renal plasma flow. Pneumoniaand any other infection can be precipitant factors of hepatorenal syndrome. We report the case of a patient diagnosed with HRS, with rapid increased of serum creatinine levels which is normal 2 weeks prior to hospitalization.Hepatorenal syndrome can be managed effectively with albumin and vasopressin, and such treatment can be started as early as in the emergency department. Acute care physicians should not be hesitant in diagnosing and treating hepatorenal syndrome as early as in the emergency department for appropriate patients.