To the Editor: The recent article on incidence and etiology of acute kidney injury (AKI) in Southern India is very interesting [1]. In this report, Krishnamurthy et al. studied incidence and etiology of AKI in Southern India and found that “Tropical febrile illnesses (dengue, scrub typhus, enteric fever, cholera, tuberculosis, malaria and leptospirosis) constituted 15.6 % of children with AKI.” This percentage is considerable high and it calls for the attention from the general practitioner. Indeed, it is no doubt that several illnesses can be the starting point for renal problem. It is questionable whether a recommendation for investigation on renal function of any pediatric patients with tropical febrile illnesses should be included into the clinical practice guideline or not.

V. Wiwanitkit ()

Wiwanitkit House,

Bangkhae,

Bangkok, Thailand;

Hainan Medical University, China;

Joseph Ayobabalola University, Nigeria

e-mail: wviroj@yahoo.com

References

  1. 1.

    Krishnamurthy S, Mondal N, Narayanan P, Biswal N, Srinivasan S, Soundravally R. Incidence and etiology of acute kidney injury in Southern India. Indian J Pediatr. 2012; doi:10.1007/s12098-012-0791-z