The Case: Acute kidney injury after Chernobyl

A 57-year-old man was referred with a 1-month history of leg swelling, myalgia, and generalized weakness. This had been preceded by 2 weeks of sore throat, treated with aspirin and erythromycin. His past medical history included hypercholesterolemia, for which he was prescribed pravastatin. His baseline creatinine recorded 1 year previously was 90??mol/l, but on this admission it was elevated at 152??mol/l. He worked in the construction industry, and his occupational history was notable for having been employed extensively in Eastern Europe and Russia in the 1980s. This included close proximity to the Chernobyl Power Plant at the time of the nuclear accident in 1986.