{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,27]],"date-time":"2026-01-27T13:41:45Z","timestamp":1769521305601,"version":"3.49.0"},"reference-count":11,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2022,2,19]],"date-time":"2022-02-19T00:00:00Z","timestamp":1645228800000},"content-version":"vor","delay-in-days":49,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acute Medicine &amp; Surgery"],"published-print":{"date-parts":[[2022,1]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p>We report a case of acute renal failure with loin pain and patchy renal ischemia after anaerobic exercise (ALPE) caused by sudden training resumption.<\/jats:p><\/jats:sec><jats:sec><jats:title>Case presentation<\/jats:title><jats:p>A 19\u2010year\u2010old Asian man who was a college American football player presented with severe back pain, headache, and malaise. He developed acute kidney injury without myoglobinuria. Based on the typical medical history and symptoms, we made a diagnosis of ALPE. Symptoms improved within a few days, and serum creatinine levels improved after discharge. He resumed training, adjusting his load step by step.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>During the coronavirus disease 2019 pandemic, many athletes were unable to undergo adequate training. Long\u2010term de\u2010training leads to decreased various organ function and reduces the anaerobic threshold. Rapid resumption after prolonged de\u2010training may put individuals at risk of developing ALPE.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ams2.732","type":"journal-article","created":{"date-parts":[[2022,2,19]],"date-time":"2022-02-19T17:03:52Z","timestamp":1645290232000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Acute renal failure with severe loin pain and patchy renal ischemia after anaerobic exercise caused by rapid resumption after prolonged detraining"],"prefix":"10.1002","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0142-031X","authenticated-orcid":false,"given":"Kei","family":"Takehara","sequence":"first","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Tokyobay Urayasu Ichikawa Medical Center  3\u20104\u201032 Todaijima, Urayasu Chiba 279\u20100001 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michiko","family":"Mizobe","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Tokyobay Urayasu Ichikawa Medical Center  3\u20104\u201032 Todaijima, Urayasu Chiba 279\u20100001 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8521-0573","authenticated-orcid":false,"given":"Keita","family":"Endo","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Endocrinology and Diabetes Tokyobay Urayasu Ichikawa Medical Center  3\u20104\u201032 Todaijima, Urayasu Chiba 279\u20100001 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0776-4655","authenticated-orcid":false,"given":"Akihiro","family":"Miyake","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Endocrinology and Diabetes Tokyobay Urayasu Ichikawa Medical Center  3\u20104\u201032 Todaijima, Urayasu Chiba 279\u20100001 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4545-9769","authenticated-orcid":false,"given":"Toshihiko","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Nephrology, Endocrinology and Diabetes Tokyobay Urayasu Ichikawa Medical Center  3\u20104\u201032 Todaijima, Urayasu Chiba 279\u20100001 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5828-6986","authenticated-orcid":false,"given":"Hiraku","family":"Funakoshi","sequence":"additional","affiliation":[{"name":"Department of Emergency and Critical Care Medicine Tokyobay Urayasu Ichikawa Medical Center  3\u20104\u201032 Todaijima, Urayasu Chiba 279\u20100001 Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,2,19]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1159\/000065013"},{"key":"e_1_2_8_3_1","first-page":"1","article-title":"KDIGO clinical practice guideline for acute kidney injury","volume":"2","author":"Garabed E","year":"2012","journal-title":"Kidney Int. 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