{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T22:08:38Z","timestamp":1778882918217,"version":"3.51.4"},"reference-count":14,"publisher":"Georg Thieme Verlag KG","issue":"23","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Dtsch Med Wochenschr"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:p>\n            Einf\u00fchrung\u2002Der Niereninfarkt ist eine seltene Ursache f\u00fcr ein akutes Nierenversagen; der Zusammenhang mit dem Cannabis-Konsum ist bisher nicht hinreichend dokumentiert.<\/jats:p><jats:p>\n            Anamnese\u2002Ein 40-j\u00e4hriger Patient stellte sich in der Notaufnahme mit seit 1,5 Tagen bestehenden akuten rechtsseitigen Flankenschmerzen in unserer Notaufnahme vor.<\/jats:p><jats:p>\n            Untersuchung und Befunde\u2002Die Sonografie des Abdomens zeigte keine Ektasie des Nierenbecken-Kelchsystems; die notfallm\u00e4\u00dfige CT-Angiografie bet\u00e4tigte den V.\u200aa. einen rechtsseitigen Niereninfarkt. Die weitere Umfelddiagnostik gab keinen Hinweis auf eine klassische Pathogenese. Allerdings wurde ein regelm\u00e4\u00dfiger Cannabis-Konsum dokumentiert.<\/jats:p><jats:p>\n            Therapie und Verlauf\u2002Aufgrund des protrahierten Verlaufs entschieden wir uns f\u00fcr ein konservatives Vorgehen mit Analgesie, laborchemischen Kontrollen und der Einleitung einer antikoagulativen Therapie. Hierunter war das Beschwerdebild r\u00fcckl\u00e4ufig.<\/jats:p><jats:p>\n            Diskussion\u2002Der Zusammenhang zwischen thromboembolischen Ereignissen und dem Konsum von Cannabis sollte insbesondere unter Ber\u00fccksichtigung der erfolgten Legalisierung weiter untersucht werden; der Konsum ist als kardiovaskul\u00e4rer Risikofaktor in Betracht zu ziehen. Ebenso existiert f\u00fcr solche Ereignisse bisher keine Empfehlung f\u00fcr die Einleitung und Dauer einer antikoagulativen Therapie.<\/jats:p>","DOI":"10.1055\/a-2406-6891","type":"journal-article","created":{"date-parts":[[2024,11,6]],"date-time":"2024-11-06T23:39:44Z","timestamp":1730936384000},"page":"1420-1422","source":"Crossref","is-referenced-by-count":1,"title":["Niereninfarkt bei Cannabis-Konsum"],"prefix":"10.1055","volume":"149","author":[{"given":"Oliver","family":"Kolks","sequence":"additional","affiliation":[{"name":"Klinikum Hochsauerland \u2013 Karolinen-Hospital H\u00fcsten, Klinik\u00a0f\u00fcr Angiologie, Stolte Ley 5, 59759 Arnsberg-H\u00fcsten"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stefan","family":"Stahlhoff","sequence":"additional","affiliation":[{"name":"Klinikum Hochsauerland \u2013 Karolinen-Hospital H\u00fcsten, Klinik\u00a0f\u00fcr Angiologie, Stolte Ley 5, 59759 Arnsberg-H\u00fcsten"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Lichtenberg","sequence":"additional","affiliation":[{"name":"Klinikum Hochsauerland \u2013 Karolinen-Hospital H\u00fcsten, Klinik\u00a0f\u00fcr Angiologie, Stolte Ley 5, 59759 Arnsberg-H\u00fcsten"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2024,11,6]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-642-28236-2_21","volume-title":"Niereninfarkt und Nierenvenenthrombose","author":"K Segerer","year":"2014"},{"key":"ref2","volume-title":"Niereninfarkt","author":"V Lent","year":"2020"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1159\/000188650","article-title":"Acute renal infarction and heavy marijuana smoking","volume":"70","author":"G L Lambrecht","year":"1995","journal-title":"Nephron"},{"issue":"07","key":"ref4","doi-asserted-by":"crossref","first-page":"725","DOI":"10.2459\/JCM.0b013e3282f2cd0d","article-title":"Cannabis: a trigger for acute myocardial infarction?","volume":"9","author":"F Cappelli","year":"2008","journal-title":"A case report J Cardiovasc Med (Hagerstown)"},{"issue":"07","key":"ref5","first-page":"A-446","article-title":"Bundesrat: Teillegalisierung von Cannabis beschlossen","volume":"121","author":"T Lau","year":"2024","journal-title":"Dtsch Arztebl"},{"key":"ref6","first-page":"52","article-title":"Cannabis use in Germany: Frequency, routes of administration, and co-use of inhaled nicotine or tobacco products","volume":"121","author":"D Kotz","year":"2024","journal-title":"Dtsch Arztebl Int"},{"issue":"03","key":"ref7","first-page":"1041","article-title":"Renal Infarction of Cannabis Users","volume":"3","author":"A Belb\u00e9zier","year":"2016","journal-title":"J\u00a0Clin Nephrol Res"},{"issue":"04","key":"ref8","doi-asserted-by":"crossref","first-page":"971","DOI":"10.4103\/1319-2442.239652","article-title":"Acute renal infarction induced by heavy marijuana smoking","volume":"29","author":"A K Al-Hwiesh","year":"2018","journal-title":"Saudi J Kidney Dis Transpl"},{"issue":"06","key":"ref9","first-page":"142","article-title":"Renal Artery Thrombosis Following Synthetic Cannabinoid Ingestion","volume":"2020","author":"J L Ho","journal-title":"Clin Med Img Lib"},{"key":"ref10","first-page":"20","article-title":"Quien disparo primero? Infarto renal de tres posibles causas","volume":"33","author":"P Gonzalez-Bustos","year":"2021","journal-title":"Clin Investig Aterioscler"},{"issue":"16","key":"ref11","first-page":"271","article-title":"Risks associated with the non-medicinal use of cannabis","volume":"112","author":"E Hoch","year":"2015","journal-title":"Dtsch Arztebl Int"},{"issue":"23","key":"ref12","doi-asserted-by":"crossref","first-page":"2219","DOI":"10.1056\/NEJMra1402309","article-title":"Adverse health effects of marijuana use","volume":"370","author":"N D Volkow","year":"2014","journal-title":"N Engl J Med"},{"key":"ref13","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-662-61379-5_197-1","volume-title":"Arterielle Verschlusskrankheit der Nierenarterien","author":"T Zeller","year":"2021"},{"key":"ref14","volume-title":"Niereninfarkt seltene Ursache bei einem 28-j\u00e4hrigen Patienten, Die Innere Medizin. 2. 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