The course of hemorrhagic fever with renal syndrome on the background of traumatic illness and acute appendicitis (clinical case)
https://doi.org/10.22625/2072-6732-2025-17-4-147-152
Abstract
The article describes a clinical case of hemorrhagic fever with renal syndrome against the background of traumatic disease and acute appendicitis. Patient K., 22 years old, was admitted to the surgical department on 08.08.2025 with the diagnosis of “Combined wound of the chest, pelvis, limbs from 30.07.2025”. On 12.08.2025, during examination, complaints of pain in the epigastric region and lower abdomen, an increase in body temperature. The abdomen is soft, sharply painful on palpation in the right sections, symptoms of peritoneal irritation are positive. Laboratory tests revealed leukocytosis, neutrophilia with a band shift to the left, thrombocytopenia, signs of acute kidney injury, and proteinuria. Diagnostic laparoscopy was performed, followed by appendectomy, sanitation and drainage of the abdominal cavity. 13.08.2025, ongoing intra-abdominal bleeding was suspected, in connection with which laparotomy, sanitation and drainage of the abdominal cavity were performed. Acute surgical pathology of the abdominal organs and the nature of the wound did not explain the cause of laboratory changes, diffuse intra-abdominal hemorrhagic changes. In addition, the differential diagnostic search was aimed at identifying infectious diseases. Immunoglobulins of class M to hantaviruses were detected on 15.08.2025. Against the background of complex treatment, the patient’s condition stabilized, on the 35th day the patient was discharged with restoration of health.
About the Authors
D. O. Efremov
The National Medical Research Center of High Medical Technologies – the Central Military Clinical Hospital named after A.A. Vishnevsky
Russian Federation
Russian Federation
Krasnogorsk
P. E. Shorokhov
The National Medical Research Center of High Medical Technologies – the Central Military Clinical Hospital named after A.A. Vishnevsky
Russian Federation
Russian Federation
Krasnogorsk
N. V. Timoshevskaya
The National Medical Research Center of High Medical Technologies – the Central Military Clinical Hospital named after A.A. Vishnevsky
Russian Federation
Russian Federation
Krasnogorsk
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Review
For citations:
Efremov D.O., Shorokhov P.E., Timoshevskaya N.V. The course of hemorrhagic fever with renal syndrome on the background of traumatic illness and acute appendicitis (clinical case). Journal Infectology. 2025;17(4):147-152. (In Russ.) https://doi.org/10.22625/2072-6732-2025-17-4-147-152
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