Fever of unknown origin in a hemodialysis patient with a failed allograft


Yazici H., Sever M. S.

Hemodialysis International, cilt.11, sa.3, ss.296-299, 2007 (Scopus) identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 11 Sayı: 3
  • Basım Tarihi: 2007
  • Doi Numarası: 10.1111/j.1542-4758.2007.00182.x
  • Dergi Adı: Hemodialysis International
  • Derginin Tarandığı İndeksler: Scopus
  • Sayfa Sayıları: ss.296-299
  • Anahtar Kelimeler: Failed allograft, Fever of unknown origin, Hemodialysis
  • İstanbul Üniversitesi Adresli: Hayır

Özet

Fever of unknown origin (FUO) in hemodialysis (HD) patients represents a diagnostic challenge because differential diagnosis includes diverse etiologies. Causes of FUO in the general population can be classified into 3 diagnostic categories: infections, tumors, and noninfectious inflammatory diseases. Also, chronic HD patients may have additional problems such as infections, the risk for which may be increased by the immunosuppression associated with uremia, vascular access-related infections, and nosocomial infections. Moreover, patients with chronically failed kidney transplants can have low-grade fever and abdominal pain, and if inflammation of the allograft is severe enough, it may result in a spontaneous rupture. Hence, it is important to rapidly recognize, diagnose, and manage these complications. In the present study, we report a case of FUO in an HD patient with a failed graft and discuss clinical approach and management of these patients. © 2007 International Society for Hemodialysis.