Çocuklarda Nadir Akut Böbrek Yetmezliği ve Trombositopeni Nedeni: Hantavirüs Enfeksiyonu Olgusu
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Dosyalar
Tarih
2018
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
On yedi yaşında erkek hasta 3 gündür devam eden ateş, halsizlik ve baş ağrısı şikayeti ile aile hekimliğine başvurmuş ve yapılan tetkiklerinde trombositopeni tespit edilmesi üzerine tarafımıza yönlendirilmiş. Hastanemize başvurduğunda orofarinkste hiperemi, 39C ateş, belirgin halsizlik, trombositopeni ve böbrek yetmezliği olduğu görüldü. Hastanın periferik kan yaymasında atipik hücre görülmedi. Hastadan parvovirüs, sitomegalovirüs (CMV), Epstein-Barr virüs (EBV), hepatit belirteçleri, brusella aglütinasyon ve Gruber Widal testleri istenildi ve sonuçlar negatif saptandı. Hastadan alınan ayrıntılı anamnezde ölmüş fareleri yaktığı öğrenildi. Hantavirüsün serolojik tetkikinde hem indirekt immünfluoresan assay (IFA) hem de Biot Analysis’de IgG ve IgM antikorları pozitif saptandı. Hastada kanamalı ateş ile seyreden akut renal sendroma yol açan hantavirüs enfeksiyonu düşünüldü ve sadece semptomatik tedavi uygulandı.
Seventeen years old yo male patient had applied to the primary care center for his complaints; fever, malaise and headache, and was he was investigated for causes thrombocytopenia of after thrombocytopenia had been detected in the workup. He had hyperaemia in oropharynx, 39C fever, noticaable malaise, thrombocytopenia and renal failure at admittance to our clinic. No atypic cell was seen in peripheral blood smear of the patient. Laboratory tests for parvovirus, cytomegalovirus (CMV), Epstein-Barr virus (EBV), brucella agglutination and gruber widal test and markers for hepatitis were examined and the results were neg-ative. A detailed patient history showed that we had informed that the patient had burned dead mice bodies. Serolohical investigation showed that IgG and IgM antibodies were positive in both Biot Analysis and in-direct immunofluorescence assay (IFA). We observed a hantavirus infec-tion causing haemorrhagic fever with renal syndrome (HFRS) and corre-spondingly applied symptomatic treatment.
Seventeen years old yo male patient had applied to the primary care center for his complaints; fever, malaise and headache, and was he was investigated for causes thrombocytopenia of after thrombocytopenia had been detected in the workup. He had hyperaemia in oropharynx, 39C fever, noticaable malaise, thrombocytopenia and renal failure at admittance to our clinic. No atypic cell was seen in peripheral blood smear of the patient. Laboratory tests for parvovirus, cytomegalovirus (CMV), Epstein-Barr virus (EBV), brucella agglutination and gruber widal test and markers for hepatitis were examined and the results were neg-ative. A detailed patient history showed that we had informed that the patient had burned dead mice bodies. Serolohical investigation showed that IgG and IgM antibodies were positive in both Biot Analysis and in-direct immunofluorescence assay (IFA). We observed a hantavirus infec-tion causing haemorrhagic fever with renal syndrome (HFRS) and corre-spondingly applied symptomatic treatment.
Açıklama
Anahtar Kelimeler
Pediatri
Kaynak
Çocuk Enfeksiyon Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
12
Sayı
4
