shock syndrome (DSS). Exclusion Criteria1. Patients with pre-existing chronic kidney disease (CKD).2. Patients with other concurrent infections or conditions known to cause AKI (e.g., sepsis, leptospirosis, malaria). Patients on nephrotoxic drugs before hospitalization. Data CollectionA structured proforma was used to collect patient demographics, clinical symptoms, laboratory parameters, and outcomes.The following data were recorded: Demographic detailsAge, sex, comorbidities.
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