Gamze KIRKIL, Mehmet Hamdi MUZ, Figen DEVECİ, Teyfik TURGUT, Ebru ERDEM

Dressler Sendromu; Bir Olgu Nedeniyle

73 yaşında erkek hasta koroner bypass operasyonu sonrası 2. haftada gelişen nefes darlığı, plöretik göğüs ağrısı, ateş, lökositoz, sedimentasyon hızında ve C-reaktif protein seviyesinde artış, plevral efüzyon bulguları ile başvurdu. Toraks BT ve ekokardiyografi tetkikleri sonucu pulmoner emboli, pnömoni ve konjestif kalp yetmezliği tanıları ekarte edilerek Dressler sendromu tanısı kondu. Nonsteroid antienflamatuar tedavi başlanan hastada semptomlarda gerileme olmayınca tedaviye 30 mg/gün steroid eklendi. Takiplerinde semptom ve laboratuar bulgularında düzelme izlenen hasta steroid dozu ayarlanarak taburcu edildi.©2008, Fırat Üniversitesi, Tıp Fakültesi

Anahtar Kelimeler:

Dressler sendromu, plevral efüzyon, steroid tedavisi

Dressler Syndrome: Because of A Case

A 73-year-old man was admitted with signs of dyspnea, pleuritic chest pain, fever, leukocytosis, high sedimentation rate, increase on C-reactive protein level, pleural effusion 2 weeks after coronary artery bypass surgery. According to the torax CT and echocardiographic findings, Dressler syndrome diagnosed by the exclusion of pulmonary embolism, pnemonia, and congestive heart failure. Nonsteroid antiinflamatory drugs administered to the patient but there was no improvement in symptoms, so parenteral steroid 30 mg/day added to the therapy. During follow up period, an improvement in symptoms and laboratory findings was seen, and the patient discharged by reducing the steroid doses. ©2008, Firat University, Medical Faculty.

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Kabul Tarihi:11.09.2007