Infective endocarditis-induced crescentic glomerulonephritis dramatically improved by plasmapheresis

Daimon, Shoichiro; Mizuno, Yuji; Fujii, Susumu; Mukai, Kazuo; Hanakawa, Hiroyuki; Otsuki, Norio; Yasuhara, Shuichiro; Saga, Tsutomu; Koni, Ichiro

doi:10.1053/ajkd.1998.v32.pm9708618

Cited by 22 publications

(24 citation statements)

References 13 publications

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“…Eight cases of systemic vasculitis and glomerulonephritis associated with IE have been described in the literature (Table 1) [2][3][4][5][6][7][8]. Six out of eight patients presented with RPGN.…”

Section: Discussionmentioning

confidence: 99%

“…In patients 1, 7, and 8, corticosteroids with or without cyclophosphamide were used [2,8]. In patient 6, in whom antibiotics alone did not show apparent efficacy, plasmapheresis caused a dramatic improvement [6]. Plasmapheresis may exert beneficial effects by reducing cryoglobulins or autoantibodies.…”

Section: Discussionmentioning

confidence: 99%

“…Even more rarely, cases of RPGN associated with IE have been reported in which symptoms such as skin lesions, arthritis, or hepatosplenomegaly developed, implicating systemic vascular involvement [2,4,5,6,8]. We report a 16-year old girl who presented as systemic vasculitis and glomerulonephritis, who subsequently developed RPGN and was diagnosed as having IE.…”

Section: Introductionmentioning

confidence: 91%

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Vasculitis associated with septicemia: case report and review of the literature

et al. 2001

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We report an unusual case in which infectious endocarditis presented systemic vasculitis and glomerulonephritis as the initial manifestation of the disease. The patient was a 16-year-old girl with congenital cyanotic heart disease who presented with skin purpura, proteinuria, and hematuria. She had hypergammaglobulinemia, cryoglobulinemia, and positive circulating immune complexes. Renal biopsy revealed crescentic glomerulonephritis. Her serum C3 level, which was initially normal, became decreased, and prednisolone and azathioprine were administered with a tentative diagnosis of systemic lupus erythematosus (SLE). Soon after, she developed fever and renal failure. Blood culture grew Streptococcus pyogenes, and the diagnosis of infectious endocarditis was made. Eight cases of systemic vasculitis and glomerulonephritis associated with infectious endocarditis have been described in the literature. Infectious endocarditis should be included in the differential diagnosis of systemic vasculitis and glomerulonephritis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 91%

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Vasculitis associated with septicemia: case report and review of the literature

et al. 2001

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“…(40,41) Treatment of isolated cases with plasmapheresis, in addition to antibiotic and steroid therapy, has also been described. (43,44) Little is known about the effect of surgical intervention on the recovery of glomerulonephritis, (40) though correction of valvular lesions may correct other contributory factors to renal failure.…”

Section: Glomerulonephritismentioning

confidence: 99%

An insight into renal disease associated with infective endocarditis

Adeniyi

Nel

2017

SAHJ

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“…Extensive crescent formation is rare and very few cases have been reported in the literature [3,5,[6][7][8][9][10][11][12].…”

Section: Introductionmentioning

confidence: 99%

Diffuse crescentic glomerulonephritis in bacterial endocarditis

Kannan

Mattoo²

2001

Pediatric Nephrology

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Renal involvement is common in patients with bacterial endocarditis. The most common bacteria are staphylococci and streptococci, and the commonest renal histopathological lesion is a diffuse proliferative and exudative type of glomerulonephritis. Very rarely, patients may present with an extensive glomerular epithelial crescent formation with a rapid deterioration in the renal function. This study reviews the published literature on diffuse crescentic glomerulonephritis in bacterial endocarditis and reports a 24-year-old male patient with endocarditis due to Capnocytophagia species, a gramnegative facultative anaerobic bacillus, which normally inhabits the oral cavity. Appropriate antibiotic therapy is essential to eradicate the infection. A brief course of corticosteroid therapy may be helpful in those with deteriorating renal function. Plasmapheresis may be useful in those with persistent hypocomplementemia, increased circulating immune complexes, and a progressive deterioration in the renal function. Removal of vegetation or valve replacement may be necessary. Prognosis is generally good.

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Infective endocarditis-induced crescentic glomerulonephritis dramatically improved by plasmapheresis

Cited by 22 publications

References 13 publications

Vasculitis associated with septicemia: case report and review of the literature

Vasculitis associated with septicemia: case report and review of the literature

An insight into renal disease associated with infective endocarditis

Diffuse crescentic glomerulonephritis in bacterial endocarditis

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