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Öğe Cefuroxime Axetil Related DRESS (drug reaction with eosinophilia and systemic symptoms) Syndrome(Modestum Ltd, 2016) Yildirim, Yasar; Kara, A. Veysel; Yilmaz, Zulfikar; Yildirim, Resit; Yilmaz, Sureyya; Kadiroglu, A. Kemal; Yilmaz, M. EminDRESS (Drug reaction with eosinophilia and systemic symptoms) syndrome is a rare, potentially life-threatening, drug induced hypersensitivity reaction manifested by fever, rash, eosinophilia, lymphadenopathy, and organ involvement especially liver and kidney. The disease is characterized by a long latency period (at least two weeks) between the drug exposure and disease onset. The most commonly reported drugs associated with DRESS syndrome in the literature are allopurinol, and anticonvulsants. We describe a patient presented with eosinophilia, fever, diffuse maculopapular rash, hepatomegaly, and multiple intra-abdominal lymphadenopathies just ten days after initiation of cefuroxime axetil. In our case, we aim to announce the first case report of cefuroxime axetil related DRESS syndrome, and also speculate on the possible association between cephalosporin and DRESS syndrome.Öğe Peritoneal Scintigraphy in Diagnosis of Peritoneal Leakage(Turk Nefroloji Diyaliz Transplantasyon Dergisi, 2008) Kadiroglu, A. Kemal; Kayabasi, Hasan; Altunci, Gulhan; Kaya, Halil; Yilmaz, M. EminAbdominal hernias and peritoneal leakage are mechanic complications of peritoneal dialysis. We want to present a nonobes type 2 diabetic female patient treated with continuous ambulatory peritoneal dialysis ( CAPD) who had left inguinal hernia due to peritoneal leakage detected by peritoneal scintigraphy. A 38-year-old female patient who has been on CAPD programme for 6 years was suffering from a swelling in her left inguinal region and a little decline in ultrafiltration rate in last two week. Fascial structure was intact by abdominopelvic ultrasound and computed tomography. In peritoneal scintigraphy; increased activity attachments were observed at the left inguinal side after first hour. The patient was transferred to the hemodialysis programme three times a week for 1 month temporarily. After 1 month, peritoneal leakage and fluid accumulation were not observed in the control peritoneal scintigraphy. The patient began to CAPD therapy again. In conclusion, peritoneal scintigraphy should be considered in detection of the dialysate leakage in patients on CAPD that failed to be diagnosed by abdominopelvic USG and computed tomography.