A rare retrograde intrarenal surgery complication: Hemophagocytic syndrome

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Küçük Resim

Tarih

2020

Dergi Başlığı

Dergi ISSN

Cilt Başlığı

Yayıncı

Mary Ann Liebert Inc.

Erişim Hakkı

info:eu-repo/semantics/openAccess

Özet

Background: Hemophagocytic syndrome (HS) is a syndromic complex that is categorized in the group of histiocytic disorders associated with macrophages. Case Presentation: A 39-year-old male patient was admitted to the outpatient clinic with complaint of left flank pain. A 1 cm kidney stone was found in the upper pole of left kidney at radiologic imaging. The patient underwent retrograde intrarenal surgery (RIRS) with no peroperative complication. High fever and increasing of acute-phase reactants were observed at postoperative first day. Besides resistant fever, pancytopenia developed despite the appropriate antibiotherapy. The urine and blood cultures were sterile. After multidisciplinary consultation, bone marrow sampling was performed. Microscopic examination of the bone marrow material revealed that the macrophage cells phagocyted the erythrocytes, which was compatible with HS. Unfortunately despite the appropriate medical HS treatment, the patient died due to multiorgan failure at the 21st day of RIRS. Conclusion: HS is a significantly rare complication after RIRS, which was presented initially with postoperative fever. HS should be kept in mind if the patient had resistant fever and pancytopenia despite the appropriate antibiotherapy. ª Mary Ann Liebert, Inc.

Açıklama

Anahtar Kelimeler

Complication, Hemophagocytic syndrome, Retrograde intrarenal surgery, acute phase protein, alanine aminotransferase, alkaline phosphatase, antibiotic agent, aspartate aminotransferase, bilirubin, bilirubin glucuronide, C reactive protein, ceftriaxone, dexamethasone, etoposide, ferritin, fluconazole, gamma glutamyltransferase, lactate dehydrogenase, meropenem, piperacillin plus tazobactam, procalcitonin, adult, anemia, antibiotic therapy, Article, blood culture, blood transfusion, bone marrow, case report, clinical article, cystoscopy, drug substitution, drug withdrawal, erythrocyte, fever, flank pain, fluoroscopy, hemophagocytic syndrome, hepatosplenomegaly, human, human tissue, hypofibrinogenemia, imaging, kidney, kidney surgery, macrophage, male, microscopy, multiple organ failure, mycosis, nephrolithiasis, operation duration, pancytopenia, phagocytosis, priority journal, retrograde intrarenal surgery, ureteropelvic junction, ureteroscopy, urine culture, x-ray computed tomography

Kaynak

Journal of Endourology Case Reports

WoS Q Değeri

Scopus Q Değeri

Q4

Cilt

6

Sayı

4

Künye