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Am J Emerg Med. 2013 Jul;31(7):1153.e3-5. doi: 10.1016/j.ajem.2013.02.036. Epub 2013 May 13.

Renal infarction secondary to ketamine abuse.

Author information

  • 1Division of Urology, Department of Surgery, Tri-Service General Hospital, National Defense Medical Center, Taipei 114, Taiwan, R.O.C.

Erratum in

  • Am J Emerg Med. 2014 Feb;32(2):190. Chen, Jin-Li [corrected to Chen, Chin-Li].


Renal infarction is an uncommon condition that resulted from inadequate perfusion of the kidney and is easily missed diagnosed due to its nonspecific clinical presentations. Major risk factors for renal infarction are atrial fibrillation, previous embolism, and ischemic and valvular heart disease. Progressive decrease in renal function or even death can occur if renal infarction is not diagnosed accurately and promptly. Ketamine abuse may cause variable urinary tract injury. However, renal infarction caused by ketamine abuse has never been reported. To our knowledge, this is the first documented case of renal infarction following nasal insufflation of ketamine.

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