A rare retrograde intrarenal surgery complication: Hemophagocytic syndrome

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dc.authorscopusid36151868000
dc.authorscopusid8416588900
dc.authorscopusid57221219259
dc.authorscopusid57221234878
dc.authorscopusid6701664192
dc.contributor.authorAkgül, Murat
dc.contributor.authorYazıcı, Cenk Murat
dc.contributor.authorAteş, Hüseyin
dc.contributor.authorAltın, Enes
dc.contributor.authorTurgut, Burhan
dc.date.accessioned2022-05-11T14:37:00Z
dc.date.available2022-05-11T14:37:00Z
dc.date.issued2020
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Üroloji Ana Bilim Dalı
dc.description.abstractBackground: 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.
dc.identifier.doi10.1089/cren.2020.0066
dc.identifier.endpage342
dc.identifier.issn2379-9889
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-85098535585
dc.identifier.scopusqualityQ4
dc.identifier.startpage339
dc.identifier.urihttps://doi.org/10.1089/cren.2020.0066
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8524
dc.identifier.volume6
dc.indekslendigikaynakScopus
dc.institutionauthorAkgül, Murat
dc.institutionauthorYazıcı, Cenk Murat
dc.institutionauthorAteş, Hüseyin
dc.institutionauthorAltın, Enes
dc.institutionauthorTurgut, Burhan
dc.language.isoen
dc.publisherMary Ann Liebert Inc.
dc.relation.ispartofJournal of Endourology Case Reports
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectComplication
dc.subjectHemophagocytic syndrome
dc.subjectRetrograde intrarenal surgery
dc.subjectacute phase protein
dc.subjectalanine aminotransferase
dc.subjectalkaline phosphatase
dc.subjectantibiotic agent
dc.subjectaspartate aminotransferase
dc.subjectbilirubin
dc.subjectbilirubin glucuronide
dc.subjectC reactive protein
dc.subjectceftriaxone
dc.subjectdexamethasone
dc.subjectetoposide
dc.subjectferritin
dc.subjectfluconazole
dc.subjectgamma glutamyltransferase
dc.subjectlactate dehydrogenase
dc.subjectmeropenem
dc.subjectpiperacillin plus tazobactam
dc.subjectprocalcitonin
dc.subjectadult
dc.subjectanemia
dc.subjectantibiotic therapy
dc.subjectArticle
dc.subjectblood culture
dc.subjectblood transfusion
dc.subjectbone marrow
dc.subjectcase report
dc.subjectclinical article
dc.subjectcystoscopy
dc.subjectdrug substitution
dc.subjectdrug withdrawal
dc.subjecterythrocyte
dc.subjectfever
dc.subjectflank pain
dc.subjectfluoroscopy
dc.subjecthemophagocytic syndrome
dc.subjecthepatosplenomegaly
dc.subjecthuman
dc.subjecthuman tissue
dc.subjecthypofibrinogenemia
dc.subjectimaging
dc.subjectkidney
dc.subjectkidney surgery
dc.subjectmacrophage
dc.subjectmale
dc.subjectmicroscopy
dc.subjectmultiple organ failure
dc.subjectmycosis
dc.subjectnephrolithiasis
dc.subjectoperation duration
dc.subjectpancytopenia
dc.subjectphagocytosis
dc.subjectpriority journal
dc.subjectretrograde intrarenal surgery
dc.subjectureteropelvic junction
dc.subjectureteroscopy
dc.subjecturine culture
dc.subjectx-ray computed tomography
dc.titleA rare retrograde intrarenal surgery complication: Hemophagocytic syndrome
dc.typeArticle

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