ABSTRACT
Renal involvement in infectious mononucleosis (IM) is infrequent. In most cases it is self-limited and is rarely associated with loss of renal function. The purpose of this case report is to document a case of acute interstitial nephritis (AIN) leading to acute renal failure (ARF) in a patient with Epstein-Barr virus (EBV) infection and to review literature of EBV infection and its renal manifestation. The patient was managed with hemodialysis and steroids and made an uneventful recovery. Renal involvement in IM may be more common than generally appreciated and may occasionally lead to ARF. Therapy with corticosteroids may have role in the management of IM-induced ARF and may shorten the duration of renal failure.
Subject(s)
Infectious Mononucleosis/complications , Nephritis, Interstitial/etiology , Acute Kidney Injury/etiology , Acute Kidney Injury/therapy , Adrenal Cortex Hormones/therapeutic use , Adult , Female , Humans , Infectious Mononucleosis/therapy , Infectious Mononucleosis/virology , Nephritis, Interstitial/therapy , Renal DialysisSubject(s)
Acute Kidney Injury/etiology , Immunoglobulins, Intravenous/adverse effects , Aged , Female , HumansABSTRACT
The authors report a case of a fifty-one-year-old man undergoing rehabilitation therapy following a stroke who suddenly developed right-sided pleuritic chest pain with dyspnea. Transesophageal echocardiography was used to demonstrate a nonocclusive right pulmonary artery embolus, when other investigative modalities failed to establish the diagnosis.
