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Acute Kidney Injury in a Young Patient with Severe Malaria: A Case Report

Bashir, Ahmed Muhammad; Ghedi, Abdi Karim Ahmed; Sümbül, Hilmi Erdem

Abstract

Acute kidney injury is a complication of severe malaria that is relatively uncommon. It has clinical importance associated with substantial morbidity and mortality in malaria-endemic regions. We report a young patient who developed acute renal injury as a result of severe malaria. In this case, malaria diagnosis was confirmed using the malaria rapid screening test and microscopic inspection of blood smears. Fever, nausea and vomiting, loss of appetite and jaundice were the clinical presentations. Treatment with artemether injection, volume expansion and antipyretics was given. He recovered well without needing hemodialysis. This is not always the case, and the prognosis is dependent on the time of presentation, the diagnosis, and the treatment received.

Özet

Akut böbrek hasarı, ciddi sıtmanın nispeten nadir görülen bir komplikasyonudur. Sıtmanın endemik olduğu bölgelerde morbidite ve mortalite ile ilişkili klinik önemi vardır. Şiddetli sıtma nedeniyle akut böbrek hasarı gelişen genç bir hasta olgusunu sunuyoruz. Bu olguda, sıtma tanısı sıtma hızlı tarama testi ve kan yaymalarının mikroskobik incelemesi ile doğrulandı. Klinik prezentasyonlar ateş, bulantı ve kusma, iştahsızlık ve sarılıktı. Artemeter enjeksiyon ile tedavi edilen hastaya volüm desteği ve antipiretik verildi. Hasta hemodiyaliz gereksinimi olmaksızın iyileşti. Olgularda durum her zaman böyle değildir ve prognoz başvuru zamanına, tanıya ve alınan tedaviye bağlıdır.

Şiddetli Sıtması Olan Genç Bir Hastada Akut Böbrek Hasarı: Olgu Sunumu
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