Acute postinfectious glomerulonephritis with a large number of crescents caused by Mycoplasma pneumoniae

Mycoplasma pneumoniae-induced acute postinfectious glomerulonephritis has various pathological changes and relatively poor prognosis. It often occurs in children, barely in adults. Currently, no clear treatment guidelines have been established for its treatment using glucocorticoid and immunosuppres...

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Main Authors: Xinghua Chen, Wanwen Xu, Juan Du, Huiming Wang
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Journal of Pathology and Microbiology
Subjects:
Online Access:http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2015;volume=58;issue=3;spage=374;epage=376;aulast=Chen
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author Xinghua Chen
Wanwen Xu
Juan Du
Huiming Wang
author_facet Xinghua Chen
Wanwen Xu
Juan Du
Huiming Wang
author_sort Xinghua Chen
collection DOAJ
description Mycoplasma pneumoniae-induced acute postinfectious glomerulonephritis has various pathological changes and relatively poor prognosis. It often occurs in children, barely in adults. Currently, no clear treatment guidelines have been established for its treatment using glucocorticoid and immunosuppressive. In this study, we report an adult who admitted to our hospital due to fever and gross hematuria. The patient presented with nephritic syndrome and renal failure and confirmed to have M. pneumoniae infection by serum detection and acute postinfectious glomerulonephritis with a large number of crescents by renal biopsy. He was given glucocorticoid, immunosuppressive agent combined with hemodialysis as well as other supportive treatment. Three months later, his renal function became normal, urine protein level decreased to 0.4 g/24 h, and the C3 complement increased to normal level. In conclusion, glucocorticoid and immunosuppressive treatment should be given to patients with M. pneumoniae-infection induced glomerulonephritis after confirmed to have a large number of crescents by renal biopsy and the treatment could improve the prognosis.
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spelling doaj.art-482e0a6dd5fd4beb80210f43e8a8dfa92022-12-22T01:57:12ZengWolters Kluwer Medknow PublicationsIndian Journal of Pathology and Microbiology0377-49292015-01-0158337437610.4103/0377-4929.162907Acute postinfectious glomerulonephritis with a large number of crescents caused by Mycoplasma pneumoniaeXinghua ChenWanwen XuJuan DuHuiming WangMycoplasma pneumoniae-induced acute postinfectious glomerulonephritis has various pathological changes and relatively poor prognosis. It often occurs in children, barely in adults. Currently, no clear treatment guidelines have been established for its treatment using glucocorticoid and immunosuppressive. In this study, we report an adult who admitted to our hospital due to fever and gross hematuria. The patient presented with nephritic syndrome and renal failure and confirmed to have M. pneumoniae infection by serum detection and acute postinfectious glomerulonephritis with a large number of crescents by renal biopsy. He was given glucocorticoid, immunosuppressive agent combined with hemodialysis as well as other supportive treatment. Three months later, his renal function became normal, urine protein level decreased to 0.4 g/24 h, and the C3 complement increased to normal level. In conclusion, glucocorticoid and immunosuppressive treatment should be given to patients with M. pneumoniae-infection induced glomerulonephritis after confirmed to have a large number of crescents by renal biopsy and the treatment could improve the prognosis.http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2015;volume=58;issue=3;spage=374;epage=376;aulast=ChenCrescentMycoplasma pneumoniaepostinfectious glomerulonephritis
spellingShingle Xinghua Chen
Wanwen Xu
Juan Du
Huiming Wang
Acute postinfectious glomerulonephritis with a large number of crescents caused by Mycoplasma pneumoniae
Indian Journal of Pathology and Microbiology
Crescent
Mycoplasma pneumoniae
postinfectious glomerulonephritis
title Acute postinfectious glomerulonephritis with a large number of crescents caused by Mycoplasma pneumoniae
title_full Acute postinfectious glomerulonephritis with a large number of crescents caused by Mycoplasma pneumoniae
title_fullStr Acute postinfectious glomerulonephritis with a large number of crescents caused by Mycoplasma pneumoniae
title_full_unstemmed Acute postinfectious glomerulonephritis with a large number of crescents caused by Mycoplasma pneumoniae
title_short Acute postinfectious glomerulonephritis with a large number of crescents caused by Mycoplasma pneumoniae
title_sort acute postinfectious glomerulonephritis with a large number of crescents caused by mycoplasma pneumoniae
topic Crescent
Mycoplasma pneumoniae
postinfectious glomerulonephritis
url http://www.ijpmonline.org/article.asp?issn=0377-4929;year=2015;volume=58;issue=3;spage=374;epage=376;aulast=Chen
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