A case of hemorrhagic fever with renal syndrome after renal transplantation.
- Author:
Min Soo KIM
1
;
Jae Won YANG
;
Seung Tae HAN
;
Jae Seok KIM
;
Bi Ro KIM
;
Byoung Geun HAN
;
Seung Ok CHOI
Author Information
1. Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea. kidney77@yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Hemorrhagic fever with renal syndrome;
Renal transplantation;
Continuous renal replacement therapy
- MeSH:
Acute Disease;
Adult;
Anuria;
Cyclosporine;
Female;
Fever;
Hantaan virus;
Headache;
Hemorrhage;
Hemorrhagic Fever with Renal Syndrome;
Humans;
Kidney Transplantation;
Oliguria;
Polyuria;
Renal Replacement Therapy;
Steroids;
Transplantation, Homologous
- From:Korean Journal of Medicine
2008;75(2):225-229
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Hemorrhagic fever with renal syndrome is an acute disease characterized by fever, headache, bleeding tendency, and anuria. We recently treated a case of hemorrhagic fever in a renal allograft patient with renal syndrome. A 43-year-old woman presented with high fever, headache, and myalgia for 4 days. In February 1998, she had undergone allograft kidney transplantation following treatment with cyclosporine and steroids. Allograft function was stable. Hantaan virus infection was demonstrated by serology during the first hospital week. Her clinical course progressed through febrile, hypotensive, oliguria, polyuria, and recovery phases. The patient was successfully treated with continuous renal replacement therapy and supportive management with maintenance doses of immunosuppressive agents.
