A Case of Crescentic Glomerulonephritis Associated with Bacterial Endocarditis.
- Author:
Jin Ho LEE
1
;
Kyung Ae MA
;
Hong Soo KIM
;
Kyu Tae SHIN
;
Myung Sung KIM
;
Yu Jin SUH
;
Soo Jin LEE
;
Seung Jung KIM
;
Do Heon KIM
;
Joon Han SHIN
;
Hyun Ey LEE
Author Information
1. Department of Nephrology, School of Medicine, Ajou University, Suwon, Korea.
- Publication Type:Case Report
- Keywords:
Bacterial endocarditis;
Crescentic glomerulonephritis;
Streptococcus viridans;
renal failure
- MeSH:
Adult;
Anti-Bacterial Agents;
Biopsy;
Creatinine;
Endocarditis, Bacterial*;
Glomerulonephritis*;
Heart Septal Defects, Ventricular;
Humans;
Male;
Mitral Valve Insufficiency;
Peritoneal Dialysis, Continuous Ambulatory;
Pulmonary Edema;
Renal Insufficiency;
Viridans Streptococci
- From:Korean Journal of Nephrology
1999;18(5):820-824
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A 25-year-old male presented with mitral insufficiency, perimembranous type of ventricular septal defect, pulmonary edema and renal insufficiency. The initial serum creatinine level was 16.2mg/dl. Blood cultures were positive for Streptococcus viridans and appropriate antibiotic therapy was initiated. Renal biopsy revealed diffuse proliferative glomerulonephritis with crescents involving all of the glomeruli. Even after adequate duration of treatment with antibiotics, surgical therapy, and high dose steroid therapy, renal function did not recover and the patient ended up with continuous ambulatory peritoneal dialysis. We present a case of crescentic glomerulonephritis associated with bacterial endocarditis with a review of the literature.
