Pediatric Fulminant Leptospirosis Complicated by Pericardial Tamponade, Macrophage Activation Syndrome and Sclerosing Cholangitis

Osman YEŞİLBAŞ; Hasan Serdar KIHTIR; Hamdi Murat YILDIRIM; Nevin HATİPOĞLU; Esra ŞEVKETOĞLU

Makale detayları

Pediatric Fulminant Leptospirosis Complicated by Pericardial Tamponade, Macrophage Activation Syndrome and Sclerosing Cholangitis

Yazarlar:

Osman YEŞİLBAŞ | Hasan Serdar KIHTIR | Hamdi Murat YILDIRIM | Nevin HATİPOĞLU | Esra ŞEVKETOĞLU

Yayıncı:

Trakya University

Dergi:

Balkan Medical Journal 2016 Vol.33 Issue 5, pp.578-580

Belge Tipi:

Makale

Yayın Tarihi:

8/2016

Belge Dili:

Türkçe

Document ID (Org No.):

2000759442

Sıklık:

İki Aylık

pISSN:

2146-3123

Özet:

 

Background: Leptospirosis is a zoonotic infectious
 disease caused by pathogenic spirochetes of the genus
 Leptospira. Although it is usually asymptomatic and
 self-limited, severe potentially fatal illness accompanied
 by multi-organ failure may occur.
 Case Report: Here we report an unusual case of severe
 leptospirosis successfully treated with continuous
 venovenous hemofiltration (CVVHF) and therapeutic
 plasma exchange (TPE). The patient presented with
 pericardial tamponade, renal failure and macrophage
 activation syndrome, and later suffered prolonged jaundice
 and sclerosing cholangitis during hospitalization in
 the pediatric intensive care unit (PICU). To the best of
 our knowledge, sclerosing cholangitis due to leptospirosis
 has not been reported in the literature.
 Conclusion: Leptospirosis should be kept in mind in
 the differential diagnosis of sepsis and septic shock
 with fever, thrombocytopenia, jaundice and renal failure.
 TPE and CVVHF should start early after the diagnosis
 of leptospirosis with multiorgan failure.

Makale detayları

Pediatric Fulminant Leptospirosis Complicated by Pericardial Tamponade, Macrophage Activation Syndrome and Sclerosing Cholangitis

Yazarlar: Osman YEŞİLBAŞ | Hasan Serdar KIHTIR | Hamdi Murat YILDIRIM | Nevin HATİPOĞLU | Esra ŞEVKETOĞLU

Yayıncı: Trakya University

Dergi: Balkan Medical Journal 2016 Vol.33 Issue 5, pp.578-580

Belge Tipi: Makale

Yayın Tarihi: 8/2016

Belge Dili: Türkçe

Document ID (Org No.): 2000759442

Sıklık: İki Aylık

pISSN: 2146-3123

Sayı

Yazarlar:

Osman YEŞİLBAŞ | Hasan Serdar KIHTIR | Hamdi Murat YILDIRIM | Nevin HATİPOĞLU | Esra ŞEVKETOĞLU

Yayıncı:

Trakya University

Dergi:

Balkan Medical Journal 2016 Vol.33 Issue 5, pp.578-580

Belge Tipi:

Makale

Yayın Tarihi:

8/2016

Belge Dili:

Türkçe

Document ID (Org No.):

2000759442

Sıklık:

İki Aylık

pISSN:

2146-3123