Acute Renal Failure and Ischemic Bowel Disease Complicated by Acute Pyelonephritis in a Patient with Systemic Lupus Erythematosus.
- Author:
Yoon Suk CHOI
1
;
Young Ok KIM
;
Jae Hyung JO
;
Jung Sun KIM
;
Young Geun HYUN
;
Jung Pil SUH
;
Jun Ki MIN
;
Sun Ae YOON
;
Byung Kee BANG
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Systemic lupus erythematosus;
Acute renal failure;
Ischemic bowel disease;
Acute pyelonephritis
- MeSH:
Abdominal Pain;
Acute Kidney Injury*;
Antibodies, Antinuclear;
Ascites;
Biopsy;
Cyclophosphamide;
Female;
Fever;
Flank Pain;
Humans;
Kidney;
Lupus Erythematosus, Systemic*;
Lupus Nephritis;
Methylprednisolone;
Oliguria;
Proteinuria;
Pyelonephritis*;
Thrombocytopenia;
Young Adult
- From:Korean Journal of Nephrology
2000;19(4):740-744
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute infection increases disease activity in patients with systemic lupus erythematosus(SLE) and causes life threatening complication such as acute renal failure or ischemic bowel disease. We here report a case of acute renal failure and ischemic bowel disease complicated by acute pyelonephritis in a patient with SLE. A 19-year-old woman was admitted for high fever and right flank pain. Urine examination revealed acute pyelonephritis. Thrombocytopenia, proteinuria, positive antinuclear antibody and anti-dsDNA, false positive VDRL confirmed SLE. The pyelonephritis improved with antibiotic treatment, but oliguria and abdominal pain and ascites newly developed. Kidney biopsy and abdominal computed tomography revealed lupus nephritis type IV and ischemic bowel disease, respectively. After methylprednisolone and cyclophosphamide treatment, the patient improved.
