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Diyabetik Nefropatisi Olan Bir Hastada Sebebi Bilinmeyen Ateş Varlığı

Unresolved Fever in a Patient With Diabetic Nephropathy

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2007

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
A patient with diabetic nephropathy stage 4, and chronic myeloid leukemia; were hospitalized due to fever, ascites, hepatomegaly and acute on chronic renal failure. Her chest X-ray revealed diffuse reticulonodular infiltration. Her erythrocyte sedimentation rate, C-reactive protein levels were found to be increased. The computed tomography resulted in peritoneal nodules and renal calcification. Peritoneal biopsy culture results revealed as Mycobacterium tuberculosis and with a 2-month anti-tuberculous treatment, the patient's renal function tests came to premorbid levels without dialysis. With this case report, a 50-year-old female diabetic patient with fever of unknown origin was discussed.
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Abstract (Original Language): 
Diyabetik nefropati (evre 4), konik miyeloid lösemi tanılarıyla takip edilen hasta; ateş, asit, hepatomegali ve kronik zeminde akut böbrek yetmezliği gelişmesi üzerine hastaneye kabul edildi. Akciğer filminde difüz retikülonodüler infiltrasyon, eritrosit sedimentas-yon hızında ve C-reaktif protein düzeylerinde artış saptanan hastanın, abdomen bilgisayarlı tomografilerinde peritonda nodüller ve renal kalsifikasyon izlendi. Periton biyopsi kültürlerinde Mycobacterium tuberculosis üremesi saptanan hastanın, 2 aylık antitüberkü-loz tedavisi ile hemodiyaliz programına ihtiyacı kalmayıp, böbrek fonksiyon testleri premorbid düzeylere gelmiştir. Bu olgu ile sebebi bilinmeyen ateşle kliniğe başvuran 50 yaşındaki diyabetik bir kadın hasta tartışılmıştır.
FULL TEXT (PDF): 
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  • 4
201-204
  • Turkish

REFERENCES

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