Staphylococcus-associated Glomerulonephritis.
10.3904/kjm.2016.90.2.148
- Author:
Dong Yeol SHIN
1
;
Sung Han KIM
;
Ji Wan LEE
;
Ki Ju CHANG
;
Seung Ha HWANG
;
Yong Mee CHO
;
Soon Bae KIM
Author Information
1. Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. sbkim@amc.seoul.kr
- Publication Type:Case Report
- Keywords:
Glomerulonephritis;
Methicillin-Resistant Staphylococcus aureus
- MeSH:
Arthritis;
Azotemia;
Biopsy;
C-Reactive Protein;
Drainage;
Female;
Fluorescent Antibody Technique;
Glomerulonephritis*;
Hematuria;
Hospitalization;
Humans;
Immunoglobulin A;
Joints;
Knee;
Methicillin-Resistant Staphylococcus aureus;
Middle Aged;
Osteomyelitis;
Proteinuria;
Shoulder;
Vancomycin
- From:Korean Journal of Medicine
2016;90(2):148-153
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 64-year-old woman was admitted with vertebral osteomyelitis and polyarthritis (both knees and the right shoulder). She had had no health problems before these conditions developed. Joint culture grew methicillin-resistant Staphylococcus aureus. During hospitalization, hematuria, proteinuria, azotemia, and decreased C3 were reported. The renal biopsy showed mesangial proliferative glomerulonephritis with C3 and IgA co-dominant deposits on immunofluorescence staining. Following incision and drainage of the right shoulder and right knee, and intravenous vancomycin for 15 weeks, the C-reactive protein, proteinuria, hematuria, and C3 level all normalized. Here, we report a case of Staphylococcus-associated glomerulonephritis with a brief review of the literature.
