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KMID : 0882420080750020225
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Korean Journal of Medicine
2008 Volume.75 No. 2 p.225 ~ p.229
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A case of hemorrhagic fever with renal syndrome after renal transplantation
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Kim Min-Soo
Yang Jae-Won
Han Seung-Tae
Kim Jae-Seok
Kim Bi-Ro
Han Byoung-Geun
Choi Seung-Ok
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Abstract
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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. (Korean J
Med 75:225-229, 2008)
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KEYWORD
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Hemorrhagic fever with renal syndrome, Renal transplantation, Continuous renal replacement therapy
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