Recognizing “Mysterious” Acute Kidney Disorders in Children

Recognizing “Mysterious” Acute Kidney Disorders in Children


Sahabat Hermina, a mysterious acute kidney disorder is now a concern. The reason, this disease is reported to have attacked hundreds of children in Indonesia. The Indonesian Pediatrician Association (IDAI) urges parents to be aware of the symptoms of mysterious acute kidney disorders that occur in children, especially the presence of specific symptoms in the form of a decrease in the frequency and amount of urine or urine.

IDAI noted that there have been more than 100 children experiencing mysterious acute kidney disorders since January 2022. Check out the review in this health info. Acute kidney failure is a condition of sudden decline in kidney function. The kidneys suddenly stop filtering waste and toxins from the blood.

Symptoms of “Mysterious” Acute Kidney Disorders in Children

Symptoms of mysterious acute kidney disorders in children that have been reported, generally begin with symptoms of infection such as fever, cough, runny nose, diarrhea, and vomiting. After 3-5 days, the frequency and volume of the child's urine will decrease a lot, even to the point of not urinating at all. This condition indicates a worsening of kidney function that must be treated immediately by a doctor.

In addition, parents should be alert if their child has early symptoms, such as:

  • Fever.
  • Cough and runny nose.
  • Vomiting, diarrhea.
  • Decreased appetite.
  • Little urine, not even out at all.
  • Pain or tenderness in the abdomen.
  • Weak and lethargic.

Handling “Mysterious” Acute Kidney Disorders in Children

The Ministry of Health of the Republic of Indonesia through the Director General of Health Services has issued a decree on the Management and Clinical Management ofAtypical Progressive Acute Kidney Injuryin Children in Health Care Facilities. 

This letter also aims to increase awareness and be used as a reference for health care facilities, related to the medical treatment of the disease in children.

Starting from a clinical diagnosis, which begins with observing the clinical signs and symptoms experienced by the patient. Examples include decreased urine output (oliguria) or no urine output (anuria). In this condition, the child has entered an advanced phase, and must be immediately taken to a health facility such as a hospital.

When a child receives treatment in hospital, the Ministry of Health recommends checking kidney function (blood urea and creatinine levels). If kidney function decreases, further examination will be carried out to confirm the diagnosis and look for abnormalities that cause acute kidney disorders.

If the results of the examination are positive for acute kidney disease, the patient will be treated in an intensive room such as the High Care Unit (HCU) or Pediatric Intensive Care Unit (PICU) as indicated.

During the treatment process, officers at the health facility will provide medication and continue to monitor the entire condition of the patient; including the amount of urine output, fluid balance in and out of the body, consciousness, respiration, blood pressure, and serial creatinine and other laboratory tests.

Well, in addition, parents also need to be aware of changes in the color of their child's urine (condensed or brown). If there is a change in the frequency and volume of urine, even if the child does not urinate for 6-8 hours (during the day), the child should be immediately taken to the nearest health facility. In addition, parents also need to ensure that if their child is sick, his body fluid needs are properly met through drinking enough water, before getting the appropriate diagnosis or treatment. Salam sehat.


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