Enalapril-induced acute kidney injury in neonates

J Neonatal Perinatal Med. 2013;6(2):179-81. doi: 10.3233/NPM-1366012.

Abstract

Angiotensin converting enzyme inhibitors have been used in the neonatal population for both cardiac and renal diseases. Past reports have described deleterious renal and neurological consequences as a result of these drugs. This report describes two infants receiving enalapril for different indications who suffered renal impairments, likely a result of concomitant diuretic use. These cases demonstrate the risks associated with ACE inhibitor use and the importance of vigilant monitoring when using these medications.

Keywords: ACE inhibitors; Hypotension; congestive heart failure; oliguria.

Publication types

  • Case Reports

MeSH terms

  • Acute Kidney Injury / chemically induced*
  • Anal Canal / abnormalities
  • Anal Canal / surgery
  • Angiotensin-Converting Enzyme Inhibitors / adverse effects*
  • Enalapril / adverse effects*
  • Esophagus / abnormalities
  • Esophagus / surgery
  • Heart Defects, Congenital / surgery
  • Heart Septal Defects, Atrial / surgery
  • Humans
  • Infant
  • Kidney / abnormalities
  • Kidney / surgery
  • Limb Deformities, Congenital / surgery
  • Male
  • Spine / abnormalities
  • Spine / surgery
  • Trachea / abnormalities
  • Trachea / surgery
  • Transposition of Great Vessels / surgery

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Enalapril

Supplementary concepts

  • VACTERL association