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A Case of Postinfectious Glomerulonephritis Following Meningococcal Meningitis / 대한신장학회잡지
Korean Journal of Nephrology ; : 321-325, 2003.
Artigo em Coreano | WPRIM | ID: wpr-48810
ABSTRACT
A 21-year-old male was presented with sudden headache, fever, petechiae and neck stiffness. The diagnosis of meningococcal meningitis was confirmed by examination of cerebrospinal fluid. The clinical symptoms of the illness were improved after treatment of antibiotics. However the patient developed generalized edema, oliguria, azotemia, and heavy proteinuria in the recovery phase of illness. Low serum C3 level was also noted. A kidney biopsy was performed and showed the features of postinfectious glomerulonephritis and typical subepithelial humps on electron-microscopic examination. His symptoms and laboratory findings were improved, and C3 level returned to normal range after conservative treatment. We suggest that a complement deficiency should be ruled out in patients of glomerulonephritis developed during the recovery phase of meningococcal meningitis. C3 nephritic factor detection and renal biopsy should be carefully considered in these patients.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Oligúria / Proteinúria / Púrpura / Valores de Referência / Biópsia / Proteínas do Sistema Complemento / Fator Nefrítico do Complemento 3 / Líquido Cefalorraquidiano / Diagnóstico / Edema Tipo de estudo: Estudo diagnóstico Limite: Humanos / Masculino Idioma: Coreano Revista: Korean Journal of Nephrology Ano de publicação: 2003 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Oligúria / Proteinúria / Púrpura / Valores de Referência / Biópsia / Proteínas do Sistema Complemento / Fator Nefrítico do Complemento 3 / Líquido Cefalorraquidiano / Diagnóstico / Edema Tipo de estudo: Estudo diagnóstico Limite: Humanos / Masculino Idioma: Coreano Revista: Korean Journal of Nephrology Ano de publicação: 2003 Tipo de documento: Artigo