The Open Urology & Nephrology Journal

ISSN: 1874-303X ― Volume 13, 2020

Everyday Cases in Nephrology

Arvind Conjeevaram, Anupama Janardhana
Consultant Nephrologist, The Bangalore and Sagar Hospitals, Bangalore, India; Email:
Consultant Nephrologist, Nanjappa Hospital, Shimoga, India; Email:

Article Information

Identifiers and Pagination:

Year: 2019
Volume: 12
Issue: Suppl-1, M1
First Page: 33
Last Page: 34
Publisher Id: TOUNJ-12-33
DOI: 10.2174/1874303X01912010033

Article History:

Received Date: 12/02/2019
Revision Received Date: 13/05/2019
Acceptance Date: 13/05/2019
Electronic publication date: 31/07/2019
Collection year: 2019

© 2019 Conjeevaram and Anupama.

open-access license: This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International Public License (CC-BY 4.0), a copy of which is available at: ( This license permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

It gives us a great pleasure to bring to you this special thematic issue for The Open Journal of Urology and Nephrology - Everyday Cases in Nephrology.

Everyday Cases in Nephrology actually started off as a tweet chat session on Twitter in the month of January 2017. The hashtag #ECNeph was used to popularize the chat session on Twitter. Interesting cases in Nephrology were presented on Twitter and drew an audience from around the world to the discussion. In fact, we analyzed the data on 22 Twitter cases conferences conducted in the 8-month from May to December 2017. A total of 3,957 tweets were recorded during these case conferences [1Arvind C, Mahesha V, Garima A, et al. Twitter-Based Case Conferences: An Online Learning Tool for Nephrologists. EMJ Nephrol 2018; 6(1): 47-8. Abstract Review No. AR4.]. Specialists from 18 countries (including India, Canada, Mexico, China, UK, Myanmar, Malaysia, Spain, Turkey, Serbia, USA, Australia, and the Gulf countries) took part. On an average, 22 doctors joined the #ECNeph case discussion session with a total of 96 physicians interacting in the sessions during the 8-month period. The number of tweets per learning session varied from 110–316, with a mean of 180 tweets per session (Figure 1).

The total percentage of tweets that included additional media in the form of slides of laboratory findings, radiological investigations, or renal biopsies was 10.45% (423 tweets). Following a mid-course change in the timings of the #ECNeph Twitter session from 8 pm Indian Standard Time to 10 pm, the number of participants increased from 16 to 22 on average. In a bid to increase our reach, another course change consisted of live streaming of case discussions and the inclusion of guest nephrologists and pathologists in the sessions. Twitter links were provided and enabled 1,242 doctors to view case discussions live through periscope videos of five case discussions on 2 different days.

Fig. (1)
Bar graph depicting number of tweets during each #ECNeph session. (Pic courtesy: NOD Analytics).

Fig. (2)
Picture grab of an #ECNeph Twitter discussion

Here is an example of one such case that generated a heated discussion on Twitter, a case of Alport Disease with post-transplant graft dysfunction, and that case has been included in this series Fig. (2).

In this series of Everyday Cases in Nephrology, we take a look at some of the interesting cases that we, as Nephrologists get to see during our routine work in this main tropical region, the Indian Subcontinent. The cases vary from the rare Prallethrin poisoning in a child to the not so uncommon urosepsis presenting as limb pain in a dialysis patient. There are learning points with each case and this has been brought out well in the discussion. Each case opens a trail of thought that is unique, but once embedded in the mind, helps it to hopefully “see” more clearly, the next similar case that comes along.

The cases that will be discussed are as follows:

  1. A case of multiple hornet stings causing multi-organ dysfunction syndrome. (Nabin Basnet et al).
  2. Double whammy - Pigment nephropathy and warfarin related nephropathy as aetiology for acute kidney injury in a patient with mechanical heart valves. (Arvind Conjeevaram et al.)
  3. A rare case of co-occurrence of emphysematous cystitis and emphysematous myositis in a haemodialysis patient. (Anupama YJ et al.)
  4. Primary Extranodal Diffuse Large B Cell Lymphoma masquerading as Acute Pyogenic Myositis. A case report. (Manisha Dassi et al.)
  5. A case of anti-Glomerular basement membrane crescentic glomerulonephritis in a female renal allograft recipient with unknown native disease: retrospective molecular confirmation of Alport disease (Mahesha Vankalakunti et al.)
  6. Acute Kidney Injury as a rare complication of Prallethrin (All-Out mosquito repellant liquid) poisoning in a child (Raghunath CN et al.)

We trust that you folks will enjoy going through these cases as much as we enjoyed putting them together, and more importantly take away some information from each case that will help you in your day to day practice in Medicine and Nephrology.


[1] Arvind C, Mahesha V, Garima A, et al. Twitter-Based Case Conferences: An Online Learning Tool for Nephrologists. EMJ Nephrol 2018; 6(1): 47-8. Abstract Review No. AR4.
Society Affiliation


"Open access will revolutionize 21st century knowledge work and accelerate the diffusion of ideas and evidence that support just in time learning and the evolution of thinking in a number of disciplines."

Daniel Pesut
(Indiana University School of Nursing, USA)

"It is important that students and researchers from all over the world can have easy access to relevant, high-standard and timely scientific information. This is exactly what Open Access Journals provide and this is the reason why I support this endeavor."

Jacques Descotes
(Centre Antipoison-Centre de Pharmacovigilance, France)

"Publishing research articles is the key for future scientific progress. Open Access publishing is therefore of utmost importance for wider dissemination of information, and will help serving the best interest of the scientific community."

Patrice Talaga
(UCB S.A., Belgium)

"Open access journals are a novel concept in the medical literature. They offer accessible information to a wide variety of individuals, including physicians, medical students, clinical investigators, and the general public. They are an outstanding source of medical and scientific information."

Jeffrey M. Weinberg
(St. Luke's-Roosevelt Hospital Center, USA)

"Open access journals are extremely useful for graduate students, investigators and all other interested persons to read important scientific articles and subscribe scientific journals. Indeed, the research articles span a wide range of area and of high quality. This is specially a must for researchers belonging to institutions with limited library facility and funding to subscribe scientific journals."

Debomoy K. Lahiri
(Indiana University School of Medicine, USA)

"Open access journals represent a major break-through in publishing. They provide easy access to the latest research on a wide variety of issues. Relevant and timely articles are made available in a fraction of the time taken by more conventional publishers. Articles are of uniformly high quality and written by the world's leading authorities."

Robert Looney
(Naval Postgraduate School, USA)

"Open access journals have transformed the way scientific data is published and disseminated: particularly, whilst ensuring a high quality standard and transparency in the editorial process, they have increased the access to the scientific literature by those researchers that have limited library support or that are working on small budgets."

Richard Reithinger
(Westat, USA)

"Not only do open access journals greatly improve the access to high quality information for scientists in the developing world, it also provides extra exposure for our papers."

J. Ferwerda
(University of Oxford, UK)

"Open Access 'Chemistry' Journals allow the dissemination of knowledge at your finger tips without paying for the scientific content."

Sean L. Kitson
(Almac Sciences, Northern Ireland)

"In principle, all scientific journals should have open access, as should be science itself. Open access journals are very helpful for students, researchers and the general public including people from institutions which do not have library or cannot afford to subscribe scientific journals. The articles are high standard and cover a wide area."

Hubert Wolterbeek
(Delft University of Technology, The Netherlands)

"The widest possible diffusion of information is critical for the advancement of science. In this perspective, open access journals are instrumental in fostering researches and achievements."

Alessandro Laviano
(Sapienza - University of Rome, Italy)

"Open access journals are very useful for all scientists as they can have quick information in the different fields of science."

Philippe Hernigou
(Paris University, France)

"There are many scientists who can not afford the rather expensive subscriptions to scientific journals. Open access journals offer a good alternative for free access to good quality scientific information."

Fidel Toldrá
(Instituto de Agroquimica y Tecnologia de Alimentos, Spain)

"Open access journals have become a fundamental tool for students, researchers, patients and the general public. Many people from institutions which do not have library or cannot afford to subscribe scientific journals benefit of them on a daily basis. The articles are among the best and cover most scientific areas."

M. Bendandi
(University Clinic of Navarre, Spain)

"These journals provide researchers with a platform for rapid, open access scientific communication. The articles are of high quality and broad scope."

Peter Chiba
(University of Vienna, Austria)

"Open access journals are probably one of the most important contributions to promote and diffuse science worldwide."

Jaime Sampaio
(University of Trás-os-Montes e Alto Douro, Portugal)

"Open access journals make up a new and rather revolutionary way to scientific publication. This option opens several quite interesting possibilities to disseminate openly and freely new knowledge and even to facilitate interpersonal communication among scientists."

Eduardo A. Castro
(INIFTA, Argentina)

"Open access journals are freely available online throughout the world, for you to read, download, copy, distribute, and use. The articles published in the open access journals are high quality and cover a wide range of fields."

Kenji Hashimoto
(Chiba University, Japan)

"Open Access journals offer an innovative and efficient way of publication for academics and professionals in a wide range of disciplines. The papers published are of high quality after rigorous peer review and they are Indexed in: major international databases. I read Open Access journals to keep abreast of the recent development in my field of study."

Daniel Shek
(Chinese University of Hong Kong, Hong Kong)

"It is a modern trend for publishers to establish open access journals. Researchers, faculty members, and students will be greatly benefited by the new journals of Bentham Science Publishers Ltd. in this category."

Jih Ru Hwu
(National Central University, Taiwan)

Browse Contents

Table of Contents

Webmaster Contact:
Copyright © 2020 Bentham Open