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Glomerulonephritis Caused by Bartonella spp. Infective Endocarditis: The Difficulty and Importance of Differentiation from Anti-neutrophil Cytoplasmic Antibody-related Rapidly Progressive Glomerulonephritis.
Yoshifuji, Ayumi; Hibino, Yuuka; Komatsu, Motoaki; Yasuda, Seiichi; Hosoya, Koji; Kobayashi, Emi; Baba, Yuko; Hirose, Shigemichi; Hashiguchi, Akinori; Kanno, Yoshihiko; Ryuzaki, Munekazu.
Afiliación
  • Yoshifuji A; Division of Nephrology, Department of Internal Medicine, Tokyo Saiseikai Central Hospital, Japan.
  • Hibino Y; Division of Nephrology, Department of Internal Medicine, Tokyo Saiseikai Central Hospital, Japan.
  • Komatsu M; Division of Nephrology, Department of Internal Medicine, Tokyo Saiseikai Central Hospital, Japan.
  • Yasuda S; Division of Nephrology, Department of Internal Medicine, Tokyo Saiseikai Central Hospital, Japan.
  • Hosoya K; Division of Nephrology, Department of Internal Medicine, Tokyo Saiseikai Central Hospital, Japan.
  • Kobayashi E; Division of Nephrology, Department of Internal Medicine, Tokyo Saiseikai Central Hospital, Japan.
  • Baba Y; Department of Dermatology, Tokyo Saiseikai Central Hospital, Japan.
  • Hirose S; Department of Pathology, Tokyo Saiseikai Central Hospital, Japan.
  • Hashiguchi A; Department of Pathology, Keio University School of Medicine, Japan.
  • Kanno Y; Department of Nephrology, Tokyo Medical University, Japan.
  • Ryuzaki M; Division of Nephrology, Department of Internal Medicine, Tokyo Saiseikai Central Hospital, Japan.
Intern Med ; 60(12): 1899-1906, 2021 Jun 15.
Article en En | MEDLINE | ID: mdl-33456034
A 65-year-old man with valvular disorder presented to his physician because of widespread purpura in both lower extremities. Blood tests showed elevated serum creatinine levels and proteinase 3-anti-neutrophil cytoplasmic antibody (ANCA) with hematuria, suggesting ANCA-related rapidly progressive glomerulonephritis (RPGN). Although multiple blood cultures were negative, transthoracic echocardiography revealed warts in the valves, and a renal biopsy also showed findings of glomerular infiltration by mononuclear leukocytes and C3 deposition in the glomeruli, suggesting infection-related glomerulonephritis. Later, Bartonella antibody turned positive. Antimicrobial treatment improved the purpura and renal function without any recurrence. ANCA-positive RPGN requires the exclusion of infective endocarditis, especially that induced by Bartonella spp.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bartonella / Endocarditis / Endocarditis Bacteriana / Glomerulonefritis Tipo de estudio: Diagnostic_studies Límite: Aged / Humans / Male Idioma: En Revista: Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Bartonella / Endocarditis / Endocarditis Bacteriana / Glomerulonefritis Tipo de estudio: Diagnostic_studies Límite: Aged / Humans / Male Idioma: En Revista: Intern Med Asunto de la revista: MEDICINA INTERNA Año: 2021 Tipo del documento: Article País de afiliación: Japón Pais de publicación: Japón