Immunosuppressive therapy and plasmapheresis in rapidly progressive glomerulonephritis associated with bacterial endocarditis
A 25-year-old male presented with new cardiac murmurs and acute renal insufficiency. Blood cultures grew Streptococcus viridans and appropriate antibiotic therapy was initiated. A renal biopsy revealed diffuse proliferative glomerulonephritis with crescents involving more than 50% of the glomeruli....
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| Veröffentlicht in: | American journal of kidney diseases 1986-05, Vol.7 (5), p.428-433 |
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| container_end_page | 433 |
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| container_issue | 5 |
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| container_title | American journal of kidney diseases |
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| creator | Rovzar, M A Logan, J L Ogden, D A Graham, A R |
| description | A 25-year-old male presented with new cardiac murmurs and acute renal insufficiency. Blood cultures grew Streptococcus viridans and appropriate antibiotic therapy was initiated. A renal biopsy revealed diffuse proliferative glomerulonephritis with crescents involving more than 50% of the glomeruli. Treatment with antibiotics, plasmapheresis, and steroids resulted in renal recovery that paralleled reductions in circulating immune complexes. The rationale for this therapeutic approach is discussed, as well as a review of two similar case reports. These experiences suggest a possible role for plasmapheresis and immunosuppressive drugs in patients who develop rapidly progressive glomerulonephritis as a complication of bacterial endocarditis. |
| doi_str_mv | 10.1016/S0272-6386(86)80093-2 |
| format | Article |
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Blood cultures grew Streptococcus viridans and appropriate antibiotic therapy was initiated. A renal biopsy revealed diffuse proliferative glomerulonephritis with crescents involving more than 50% of the glomeruli. Treatment with antibiotics, plasmapheresis, and steroids resulted in renal recovery that paralleled reductions in circulating immune complexes. The rationale for this therapeutic approach is discussed, as well as a review of two similar case reports. 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| fulltext | fulltext |
| identifier | ISSN: 0272-6386 |
| ispartof | American journal of kidney diseases, 1986-05, Vol.7 (5), p.428-433 |
| issn | 0272-6386 |
| language | eng |
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| source | MEDLINE; Access via ScienceDirect (Elsevier) |
| subjects | Adult Antigen-Antibody Complex - analysis Azathioprine - administration & dosage Creatinine - blood Drug Therapy, Combination Endocarditis, Bacterial - complications Endocarditis, Bacterial - immunology Glomerulonephritis - etiology Glomerulonephritis - pathology Glomerulonephritis - therapy Humans Male Plasmapheresis Prednisone - administration & dosage Streptococcal Infections - complications Time Factors |
| title | Immunosuppressive therapy and plasmapheresis in rapidly progressive glomerulonephritis associated with bacterial endocarditis |
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