A clinical case of a severe course of hemorrhagic fever with renal syndrome and a pronounced leukemoid reaction

A contract soldier, 19 years old, was admitted to the intensive care unit on the 8th day of illness with a pronounced leukemoid reaction up to 92.8ґ109 / L (a shift in the leukocyte formula to myelocytes 18%, blast cells 0.3%), hemorrhagic syndrome due to consumption coagulopathy, acute renal injury, stage III according to AKIN. Received antibacterial therapy with moxifloxacin 400 mg per day intravenously, symptomatic treatment, 2 sessions of plasmapheresis with plasma exchange were performed, 3 sessions of hemodiafiltration, replacement of donor fresh frozen plasma was 5710 ml. Antiviral therapy was not performed due to late hospitalization and decreased glomerular filtration rate. On the 15th day, in a satisfactory condition, he was transferred to the infectious diseases department. On the 74th day, he was discharged in satisfactory condition.

hemorrhagic fever with renal syndrome, leukemoid reaction, disseminated intravascular coagulopathy, acute renal injury, subcapsular hematoma of the kidney