An acute renal infarction due to atrial fibrillation in a transplant patient: a case report

Akut renal arter tromboembolizmi hızlı tanı ve tedavi gerektiren kritik bir problemdir. Emboliye bağlı renal infarkt olgularının çoğunluğu atriyal fibrilasyonlu hastalarda görülmektedir. Renal arter tromboembolizminin erken tanısı zordur. Akut renal infarktlı hastaların tipik yakınmaları yan ağrısı ve yaygın karın ağrısıdır. Renal infarkt sırasında beyaz küre, serum kreatinin artışı ve belirgin yüksek laktat dehidrogenaz düzeyleri gözlenmektedir. Bu makalede biz, atriyal fibrilasyonlu bir böbrek nakilli hastada gelişen akut renal infarkt olgusunu sunmayı amaçladık

THE ASSOCIATION OF RETICULATED THROMBOCYTE COUNT WITH TREATMENT RESPONSE IN PATIENTS WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA

Objective: Idiopathic thrombocytopenic purpura (ITP) causes thrombocytopenia via the premature destruction of autoantibody covered thrombocytes. It is diagnosed by exclusion of other diseases which cause thrombocytopenia. Reticulothrom-bocytes (RT) are young thrombocytes containing messenger ribonucleic acid (mRNA) and ribosomal ribonucleic acid (rRNA). Measurement of RT with flow cytometry is reported to reflect thrombopoetic activity in thrombocytopenic patients

Oral Anticoagulant Treatment of Atrial Fibrillation in Chronic Kidney Disease Patients

Nonvalvular atrial fibrillation is the most prevalent sustained arrhythmia in chronic kidney disease patients. When compared to warfarin, new oral anticoagulants are found to be non-inferior or superior in safety and efficacy outcomes in the general population. The efficacy and safety of anticoagulation in mild chronic kidney disease is similar to the general population. Studies are yielding conflicting results in moderate to advanced chronic kidney disease and end stage renal disease. Due to hemostasis dysfunction in chronic kidney disease, both bleeding and thromboembolism risk increase. Advanced chronic kidney disease and end stage renal disease patients are excluded from randomized controlled trials. Our knowledge about the efficacy, safety and dose adjustments of warfarin and new oral anticoagulants are based on observational data. According to the recent studies, apixaban and edoxaban use in moderate chronic kidney disease with a glomerular filtration rate between 30-50 mL/min may be safer than warfarin. There are no high quality evidence to recommend the use of warfarin in advanced and end stage chronic kidney disease patients. The Food and Drug Administration approved the use of apixaban in end stage renal disease. Randomized controlled trials are needed to evaluate the use of oral anticoagulants in advanced chronic kidney disease

Delftia Acidovorans Peritonitis in a Patient Undergoing Peritoneal Dialysis

Peritonitis is the most common complication of peritoneal dialysis. Peritoneal dialysis associated peritonitis caused by Delftia acidovorans has been reported only once in the literature before. Here, we present the second case of D. acidovorans peritonitis in a 60-year old male patient undergoing peritoneal dialysis. The patient was treated with intraperitoneal ceftazidim and oral ciprofloxacin, to which the organism was sensitive. The catheter was removed because of refractory peritonitis

Böbrek nakilli hastada atriyal fibrilasyona bağlı akut renal infarkt: Olgu sunumu

Acute renal artery thromboembolism is a critical problem requiring rapid diagnosis and treatment. Most reports of renal infarction due to emboli are in patients with atrial fibrillation. Early diagnosis of renal artery thromboembolism is difficult. Patients with acute renal infarction typically complain of flank pain or generalized abdominal pain. Elevated peripheral white blood cell count, serum creatinine concentration and markedly elevated serum lactate dehydrogenase can be seen during renal infarction. In this case report, we describe a renal transplant recipient patient who developed an acute renal infarction due to atrial fibrillation.Akut renal arter tromboembolizmi hızlı tanı ve tedavi gerektiren kritik bir problemdir. Emboliye bağlı renal infarkt olgularının çoğunluğu atriyal fibrilasyonlu hastalarda görülmektedir. Renal arter tromboembolizminin erken tanısı zordur. Akut renal infarktlı hastaların tipik yakınmaları yan ağrısı ve yaygın karın ağrısıdır. Renal infarkt sırasında beyaz küre, serum kreatinin artışı ve belirgin yüksek laktat dehidrogenaz düzeyleri gözlenmektedir. Bu makalede biz, atriyal fibrilasyonlu bir böbrek nakilli hastada gelişen akut renal infarkt olgusunu sunmayı amaçladık

Extreme Hyperkalemia in a Hemodialysis Patient Presenting with Cardiac Arrhythmia

Hyperkalemia is commonly seen in hemodialysis patients and is a potentially life-threatening condition. Serum potassium concentration greater than 10 mEq/L is defined as extreme hyperkalemia. Emergent treatment of hyperkalemia is made with intravenous calcium, insulin-dextrose solutions, diuretics, gastrointestinal cation-exchange resin and dialysis. We present here a 52-year-old chronic hemodialysis patient with extreme hyperkalemia and cardiac arrhythmia. She was treated with emergent hemodialysis. Her abnormal laboratory findings and electrocardiography recovered. Further examinations suggested insufficient hemodialysis treatment as the possible cause of hyperkalemia