C-ANCA-positive glomerulonephritis associated with subacute infective endocarditis caused by Bartonella infection / 영남의대학술지
Yeungnam University Journal of Medicine
; : 140-145, 2017.
Article
in En
| WPRIM
| ID: wpr-84521
Responsible library:
WPRO
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 1:2,048. Renal histology identified focal crescentic GN. Azotemia and proteinuria improved after doxycycline and rifampin treatment combining with steroid therapy.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Aortic Valve
/
Proteinuria
/
Rifampin
/
Bartonella
/
Bartonella Infections
/
Echocardiography
/
Weight Loss
/
Anorexia
/
Doxycycline
/
Cytoplasm
Type of study:
Diagnostic_studies
Limits:
Aged
/
Humans
Country/Region as subject:
Asia
Language:
En
Journal:
Yeungnam University Journal of Medicine
Year:
2017
Type:
Article