Acute Renal Failure and Ischemic Bowel Disease Complicated by Acute Pyelonephritis in a Patient with Systemic Lupus Erythematosus / 대한신장학회잡지
Korean Journal of Nephrology
;
: 740-744, 2000.
Artículo
en Coreano
| WPRIM
| ID: wpr-73549
ABSTRACT
Acute infection increases disease activity in patients with systemic lupus erythematosus(SLE) and causes life threatening complication such as acute renal failure or ischemic bowel disease. We here report a case of acute renal failure and ischemic bowel disease complicated by acute pyelonephritis in a patient with SLE. A 19-year-old woman was admitted for high fever and right flank pain. Urine examination revealed acute pyelonephritis. Thrombocytopenia, proteinuria, positive antinuclear antibody and anti-dsDNA, false positive VDRL confirmed SLE. The pyelonephritis improved with antibiotic treatment, but oliguria and abdominal pain and ascites newly developed. Kidney biopsy and abdominal computed tomography revealed lupus nephritis type IV and ischemic bowel disease, respectively. After methylprednisolone and cyclophosphamide treatment, the patient improved.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Oliguria
/
Proteinuria
/
Ascitis
/
Pielonefritis
/
Trombocitopenia
/
Biopsia
/
Nefritis Lúpica
/
Metilprednisolona
/
Dolor Abdominal
/
Anticuerpos Antinucleares
Límite:
Femenino
/
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Nephrology
Año:
2000
Tipo del documento:
Artículo
Similares
MEDLINE
...
LILACS
LIS