Successful Management of a Neonate with Renal Failure and Cardiac Complications: A Case Report

Introduction: The knowledge of the prevalence and consequences of neonatal acute kidney damage (AKI) has grown significantly since the Neonatal Acute Kidney Damage review was published in 2015.However, the fetus with anuric renal insufficiency who has renal anhydramnios in the early stages of pregnancy does not benefit from these treatments. Case report: A male term infant was delivered at Jazira hospital weighing 3.3kg come to our NICU presenting respiratory distress and severe convulsion.delivered by NVD and Apgar score was low as reported. As soon He was ventilated by ventilator oxygen support therepy. His convulsion was not improving with luminatten and Keppraso then added Epitoin. Discussion When an infant needs urgent care, acute kidney damage (AKI) is a frequent consequence. Researchers have linked AKI to an increase in morbidity and death during the neonatal era(6).Compared to term infants and older people, those born preterm (less than 37 weeks gestation), particularly those born at extremely early gestation (less than 28 weeks gestation), are more likely to have AKI; studies have shown that the incidence of AKI in those under 28 weeks gestation can reach 48%.His condition required renal support and intensive care, but after two weeks of medical management, including fluid restriction, dobutamine, and sildenafil, he recovered with normal urine output and stabilization of lab values. Conclusion This case emphasizes the importance of early recognition and comprehensive management in neonates with multi-system failure, including respiratory distress, seizures, and acute kidney injury. The infant's successful recovery, without the need for dialysis, highlights the effectiveness of a multidisciplinary approach with ventilatory support, anticonvulsants, fluid management, and renal and cardiovascular support, leading to a positive outcome and discharge.