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C-ANCA-positive glomerulonephritis associated with subacute infective endocarditis caused by Bartonella infection / 영남의대학술지
Yeungnam University Journal of Medicine ; : 140-145, 2017.
Article in English | WPRIM | ID: wpr-787031
ABSTRACT
Glomerulonephritis (GN) is sometimes associated with infective endocarditis (IE). Bartonella endocarditis is difficult to diagnose because it is rare and cannot be detected by blood culture. This is the first report of cytoplasmic anti-neutrophil cytoplasmic antibody-positive subacute endocarditis-associated GN caused by Bartonella infection in South Korea. A 67-year-old man was hospitalized due to azotemia. He complained of weight loss and anorexia for 6 months. A diagnosis of IE was made based upon echocardiographic detection of vegetations on the mitral and aortic valves and a Bartonella antibody titer of 12,048. Renal histology identified focal crescentic GN. Azotemia and proteinuria improved after doxycycline and rifampin treatment combining with steroid therapy.
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Full text: Available Index: WPRIM (Western Pacific) Main subject: Aortic Valve / Proteinuria / Rifampin / Bartonella / Bartonella Infections / Echocardiography / Weight Loss / Anorexia / Doxycycline / Cytoplasm Type of study: Diagnostic study Limits: Aged / Humans Country/Region as subject: Asia Language: English Journal: Yeungnam University Journal of Medicine Year: 2017 Type: Article

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Full text: Available Index: WPRIM (Western Pacific) Main subject: Aortic Valve / Proteinuria / Rifampin / Bartonella / Bartonella Infections / Echocardiography / Weight Loss / Anorexia / Doxycycline / Cytoplasm Type of study: Diagnostic study Limits: Aged / Humans Country/Region as subject: Asia Language: English Journal: Yeungnam University Journal of Medicine Year: 2017 Type: Article