Effect of treatment choice on survival in a case with meningococcemia and multiorgan failure
Journal Title: Dicle Tıp Dergisi - Year 2016, Vol 43, Issue 1
Abstract
We report in this paper a case had continuous veno-venous hemodiafiltration (CVVHDF) with the diagnosis of meningococcemia - multiple organ failure (MOF) and without permanent damage development although it took more than 4 weeks of loss of kidney function. Three-year-old female patient was hospitalized for unconsciousness, no spontaneous respiration, blood pressure 50/30 mmHg, and widely echimotic- purpuric rash. In her laboratory. there were 19.600 / mm3 white blood cells, 5.7 g / dL hemoglobin, 76,000 / mm3 platelets, prothrombin time was 23.9 seconds, aPTT was higher than measurable values, creatinine was 7.2 mg / dL, ALT / AST were 378/714 / L, and she was anuric. She underwent CVVHDF treatment with the diagnosis of meningococcemia and MOF. On the 48 hours of treatment, her vital signs were improved, on 55 hours MOF was revealed except for renal functions and CVVHDF treatment was discontinued. Because of the damage to the kidneys continue, she had 3 hours/ day dose of hemodialysis. At the end of hospitalization for 1 week, her hemodialysis need was declined to 3 days/ week, on 5th week to 2 days / week and on the beginning of 6 weeks, there was entirely no need for dialysis and she had been seen in services in one more week without dialysis need. On the last visit, she had normal blood pressure, creatinine clearance, urine osmolarity and protein excretion. She was followed up for 4.5 years with no abnormality. Key words: Meningococcemia, dialysis, renal failure
Authors and Affiliations
Kadriye Özdemir, Nida Dincel, Orhan Kara, Ebru Yılmaz, Gözde Gözüoğlu, Sevgi Mir
Keywords
Related Articles
- EP ID EP101412
- DOI 10.5798/diclemedj.0921.2016.01.0664
- Views 83
- Downloads 0
The association of body composition parameters with nonalcoholic hepatic steatosis
Objective: Nonalcoholic fatty liver disease (NAFLD) which is strongly correlated with obesity; has been a common worldwide health problem with the improvements in social status. Body composition studies are accepted as...
MTHFR 677 C>T Polimorfizmi ile ilintili olduğu düşünülen hastalıklara dair Türk populasyonundaki çalışmalar
5,10-Methlenetetrahydrofolate reductase (MTHFR) is one of the most important enzymes for folic acid metabolism. This protein’s gene is mapped on chromosome 1, which is located at the end of the short arm (1p36.3). MTH...
The results of our external dacryocystorhinostomy performed with single flap and bicanalicular silicone tube intubation
Objective: To assess the results of external dacryocystorhinostomy (EDSR) performed with single flap and bicanalicular silicone tube intubation (STI) surgery in our patients with nasolacrimal duct obstruction. M...
Metabolik sendromlu hastalarda eritrosit dağılım genişliğinin subklinik ateroskleroz ile ilişkisi
Amaç: Çalışmamızda Metabolik sendrom (MetS)’lu hastalarda karotis intima-media kalınlığı (KİMK) ölçümü ile değerlendirilen subklinik ateroskleroz ile eritrosit dağılım genişliği (EDG) arasında ilişki olup olmadığını a...
Retrospective analysis of 29 cases with uterine sarcoma: A single center experience
Objective: To determine the recurrence and survival rates of uterine sarcomas according to stages, treatment methods, histological type. Methods: In this study 29 patients were included who were diagnosed with uterine...