Dursun TATAR, Ceyda ANAR, Özlem EDİPOĞLU, Pınar ÇİMEN, Cenk KIRAKLI

NEFROTİK SENDROM İLE İLİŞKİLİ BİR MASİF PULMONER EMBOLİ OLGUSU

Pulmoner tromboemboli (PTE) sık görülen, teşhisinde zorlanılan ve mortalitesi yüksek bir hastalıktır. PTE oluşumunda erken dönemde kolayca gözden kaçabilen birçok sekonder risk faktörü bulunmaktadır. Bu faktörlerden biri de nefrotik sendromdur. 24 yaşındaki erkek hasta ani başlayan nefes darlığı, göğüs ağrısı ve bayılma şikayetleri ile acil servise başvurdu. Özgeçmişinde 3 ay önce pnömoni tanısı ile tedavi gördüğü ve 2 ay önce böbrek biyopsisi ile membranöz glomerülonefrit tanısı aldığı ve tedavi olarak kortikosteroid, diüretik ve siklosporin ilaçlarını kullandığı öğrenildi. Ventilasyon / perfüzyon sintigrafisi ile pulmoner emboli tanısı konan hastaya trombolitik tedavi başlandı. Kliniği hızla düzelen hastanın yatışının 3. gününde kan gazında hipoksemisinin düzeldiği görüldü. Bir masif pulmoner emboli olgusu, nefrotik sendrom zemininde gelişmesi, trombolitik ve antikoagülan tedaviyle kısa sürede sağlığına kavuşması nedeniyle sunuldu.

Anahtar Kelimeler:

Pulmoner tromboemboli, nefrotik sendrom, tedavi

A PULMONARY THROMBOEMBOLISM CASE BASED ON NEPHROTIC SYNDROME

Pulmonary thromboembolism (PTE) is a frequent disease with a high mortality and a diffucult diagnosis. There are many secondary risk factors that can be escaped notice during early stage of PTE. One of these factors is nephrotic syndrome. A 24-year-old male patient was admitted to emergency room with complaints of sudden shortness of breath and chest pain. We learned that he was treated with a diagnosis of pneumonia 3 months ago and membranous glomerulonephritis was diagnosid 2 months ago with renal biopsy. He was treated with of corticosteroids, diuretics, and cyclosporine. Thrombolytıc therapy was performed for pulmonary embolism which was diagnosed with Ventilation / perfusion scintigraphy. Here a case presenting PTE based on nephrotic syndrome is presented.

Keywords:

Pulmonary thromboembolism, nephrotic syndrome, therapy,

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