Hemolytic Uremic Syndrome with Applied Elongated Peritoneal Dialysis Theraphy

Year 2010, Volume: 15 Issue: 2, 107 - 109, 01.04.2010

Cihangir Akgün Mehmet Selçuk Bektaş Mehmet Açıkgöz Fesih Aktar Hayrettin Temel Avni Kaya

Abstract

Hemolytic uremic syndrome is characterized by the manifestation of hemolytic anemia, thrombocytopenia and acute renal failure. It is the one of the most common cause of acute renal failure in infant and children. Microvascular occlusive outgoing with thrombotic microangiopathy frequently with capillaries and less often with arterial is underlying pathology. In this article, we presented a 7-month-old boy with the complaints of fever, bloody diarrhea, vomiting, darkening of urine color and anuria. As a result of peritoneal dialysis in a duration of 10 days totally 240 seance, patient was get off from anuria. This case was reported to emphasize the patients with Hemolytic uremic syndrome should be continued peritoneal dialysis until get off anuria.

Keywords

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Uzamış Periton Dializi Uygulanan Hemolitik Üremik Sendrom Olgusu

Abstract

Hemolitik üremik sendrom; hemolitik anemi, trombositopeni ve akut renal yetmezlik ile karakterize klinik bir tablodur. İnfant ve çocuklarda akut böbrek yetmezliğinin en sık nedenlerinden biridir. Altta yatan patoloji sıklıkla kapillerlerin, daha az sıklıkla arterlerin mikrovasküler tıkayıcı bozukluğu ile giden trombotik mikroanjiyopatisidir. Bu yazıda ateş, kanlı ishal, kusma, idrar renginde koyulaşma ve idrar yapamama şikayetleri ile getirilen yedi aylık erkek olgu sunuldu. 10 gün toplam 240 seans periton dializi sonucunda olgu total anüriden çıktı. Bu olgu Hemolitik üremik sendromlu hastalarda anüriden çıkana kadar periton dializine devam edilmesi gerektiğini vurgulamak amacıyla sunuldu.

Keywords

Anüri, Hemolitik üremik sendrom, periton dializi

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