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The Korean Journal of Medicine 2009;76(3): 385-388.
이뇨기에 양측 엉덩허리근 출혈이 발생한 신증후성 출혈열
강승지, 정영선, 박경화, 정숙인
Hemorrhagic fever with renal syndrome complicated by iliopsoas hemorrhage during the diuretic phase
Seung Ji Kang, Young-Sun Jung, Kyung-Hwa Park, Sook-In Jung
ABSTRACT
Hemorrhagic fever with renal syndrome (HFRS) presents clinically with the triad of fever, hemorrhage, and renal failure. The hemorrhage varies from transient petechial lesions to fulminant, massive bleeding. Most of the hemorrhagic manifestations occur from the febrile stage to the oliguric stage, and rarely in the convalescent stage. We report a case of bilateral psoas and left iliacus muscle hemorrhage occurring during the diuretic stage in a patient with HFRS. Without surgical decompression, he recovered from the iliopsoas hemorrhage with hemodialysis and supportive care.
Keywords: Iliopsoas hemorrhage; HFRS
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