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KMID : 0359920130320040190
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Korean Journal of Nephrology
2013 Volume.32 No. 4 p.190 ~ p.193
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A case of scrub typhus requiring maintenance hemodialysis
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Kim Dae-Yeon
Park Hee-Soon
Han Dong-Jae
Kang Hyo-Chul
Lee Ji-Hye
Jang Won-Jong
Gil Hyo-Wook
Yang Jong-Oh
Lee Eun-Young
Hong Sae-Yong
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Abstract
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Renal failure caused by scrub typhus is known to be reversible. In most cases, renal function is almost fully restored after appropriate antibiotic treatment. A 71-yearold man was diagnosed with scrub typhus complicated by renal failure. A renal biopsy revealed histopathologic findings consistent with acute tubulointerstitial nephritis. Renal function did not improve 18 months after discharge and the patient required continuous hemodialysis. Although severe renal failure requiring dialysis is a rare complication of scrub typhus, we describe a case of scrub typhus requiring maintenance hemodialysis. To the best of our knowledge, this is the first such report.
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KEYWORD
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End-stage renal disease, Hemodialysis, Scrub typhus, Tubulointerstitial nephritis
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