Recovery from crescentic glomerulonephritis with bacterial endocarditis with antibiotics alone.
- Author:
Jin Kyung KIM
1
;
Young Ki LEE
;
Sook Eui OH
;
Jung Rae CHO
;
Jung Woo NOH
;
Eun Suk NAM
;
Sang Hak LEE
Author Information
1. Department of Internal Medicine, Kidney Research Institute, College of Medicine, Hallym University, Seoul, Korea. jwn8671@unitel.co.kr
- Publication Type:Case Report
- Keywords:
Endocarditis;
Glomerulonephritis;
Antibiotics
- MeSH:
Anti-Bacterial Agents;
Biopsy;
Endocarditis;
Endocarditis, Bacterial;
Enterococcus faecalis;
Female;
Fever;
Glomerulonephritis;
Hematuria;
Hospitalization;
Humans;
Middle Aged;
Mitral Valve;
Mitral Valve Insufficiency;
Purpura;
Pyuria;
Urinary Tract Infections
- From:Korean Journal of Medicine
2009;76(3):358-364
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 59-year-old woman presented to our hospital with fever, petechiae, pyuria, gross hematuria, and rapidly progressive glomerulonephritis (GN). She had a history of urinary tract infection. A renal biopsy specimen revealed crescentic GN and an echocardiogram showed a vegetation 3.15x1.73 cm in size on the mitral valve and severe mitral valve regurgitation. Blood cultures grew Enterococcus faecalis. Treatment with antibiotics alone resulted in clinical improvement of the renal function and resolution of the fever. Three months after hospitalization, the echocardiogram showed mild mitral valve regurgitation. This case suggests that crescentic glomerulonephritis associated with even a huge vegetation of infectious endocarditis can be treated with antibiotics alone and result in stable renal function.
