Fulminant meningococcemia and acute renal failure in a 3-year-old boy

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dc.contributor.authorAkil I.
dc.contributor.authorYüksel H.
dc.contributor.authorCoskun S.
dc.contributor.authorYilmaz D.
dc.contributor.authorOnag A.
dc.date.accessioned2024-07-22T08:24:32Z
dc.date.available2024-07-22T08:24:32Z
dc.date.issued2004
dc.description.abstractAcute renal failure is a common occurrence in sepsis, but is rarely reported in meningococcemia. We present a young child diagnosed with fulminant meningococcemia who had several poor prognostic factors, including hypotension, thrombocytopenia, purpura fulminans, seizures, the absence of meningitis with meningococcemia, and acute renal failure, which was successfully treated with peritoneal dialysis. Peritoneal dialysis was started on the 5th day because the patient had been anuric for 48 h. At that time, analysis showed that the child was both hypokalemic and hypophosphatemic. His serum blood urea nitrogen was 61 mg/dl, creatinine 2.75 mg/dl, potassium 2.8 mEq/l, and phosphorus 0.7 mg/dl. Urine output began on the 12th day post admission and normalization of serum creatinine was achieved on the 26th day. In conclusion, renal failure is an important complication of meningococcemia and, to be effective, sometimes long-term peritoneal dialysis is required. Profound metabolic abnormalities, such as hypokalemia and hypophosphatemia, may occur paradoxically in the presence of oliguria.
dc.identifier.DOI-ID10.1007/s00467-003-1345-4
dc.identifier.issn0931041X
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/20020
dc.language.isoEnglish
dc.subjectBacteremia
dc.subjectChild, Preschool
dc.subjectHumans
dc.subjectHypokalemia
dc.subjectHypophosphatemia
dc.subjectKidney Failure
dc.subjectMale
dc.subjectMeningococcal Infections
dc.subjectPeritoneal Dialysis
dc.subjectceftriaxone
dc.subjectcreatinine
dc.subjectdobutamine
dc.subjectdopamine
dc.subjectfresh frozen plasma
dc.subjectfurosemide
dc.subjectheparin
dc.subjecthypertensive agent
dc.subjectphosphorus
dc.subjectpotassium
dc.subjecturea
dc.subjectacute kidney failure
dc.subjectanuria
dc.subjectarticle
dc.subjectblood culture
dc.subjectcase report
dc.subjectchildhood disease
dc.subjectcomputer assisted tomography
dc.subjectcreatinine blood level
dc.subjectfluid therapy
dc.subjecthospital admission
dc.subjecthuman
dc.subjecthypokalemia
dc.subjecthypophosphatemia
dc.subjecthypotension
dc.subjectlumbar puncture
dc.subjectmale
dc.subjectmeningitis
dc.subjectmeningococcemia
dc.subjectNeisseria meningitidis
dc.subjectnuclear magnetic resonance imaging
dc.subjectperitoneal dialysis
dc.subjectphosphate blood level
dc.subjectpotassium blood level
dc.subjectpreschool child
dc.subjectpriority journal
dc.subjectprognosis
dc.subjectpurpura
dc.subjectseizure
dc.subjectshock
dc.subjectthrombocytopenia
dc.subjecturea nitrogen blood level
dc.subjecturine volume
dc.titleFulminant meningococcemia and acute renal failure in a 3-year-old boy
dc.typeArticle

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