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Tumorlysesyndrom eines jugendlichen Patienten mit lymphoblastischem Lymphom vom Burkitt-Typ
- Source :
- DMW - Deutsche Medizinische Wochenschrift. 112:1823-1824
- Publication Year :
- 2008
- Publisher :
- Georg Thieme Verlag KG, 2008.
-
Abstract
- A tumor lysis syndrome with hyperkalaemia, hyperphosphataemia, hyperuricaemia and hypocalcaemia developed 48 hours after start of combined cytostatic treatment in a 16-year-old boy with Burkitt's lymphoma. Despite prophylactic administration of allopurinol and urinary alkalization, postrenal precipitation of urates and calcium phosphate caused acute renal failure. Ureteric splinting and percutaneous fistulization of the contralateral renal pelvis became necessary. Elevated renal retention values became normal after these measures and infusions with balanced alkalized electrolyte solutions, and the hypocalcaemia was counteracted.
- Subjects :
- musculoskeletal diseases
medicine.medical_specialty
Percutaneous
business.industry
Urinary system
Lymphoblastic lymphoma
nutritional and metabolic diseases
Allopurinol
General Medicine
urologic and male genital diseases
medicine.disease
Gastroenterology
Lymphoma
Tumor lysis syndrome
medicine.anatomical_structure
Internal medicine
medicine
Hypocalcaemia
business
Renal pelvis
medicine.drug
Subjects
Details
- ISSN :
- 14394413 and 00120472
- Volume :
- 112
- Database :
- OpenAIRE
- Journal :
- DMW - Deutsche Medizinische Wochenschrift
- Accession number :
- edsair.doi...........1e7e84fb383f7c2bb58ff127df27667b