Glomerulonephritis associated with tuberculosis: A case report and literature review

Rapidly progressive glomerulonephritis caused mycobacterium tuberculosis is rare; however, three case have been reported to date. Crescentic glomerulonephritis is a life-threatening disease and together with the presence of tuberculous infection is associated with a poor outcome if treatment is inad...

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Main Authors: Yalcin Solak, Abduzhappar Gaipov, Melih Anil, Huseyin Atalay, Orhan Ozbek, Kultigin Turkmen, Ilker Polat, Suleyman Turk
Format: Article
Language:English
Published: Wiley 2013-06-01
Series:Kaohsiung Journal of Medical Sciences
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1607551X12003063
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author Yalcin Solak
Abduzhappar Gaipov
Melih Anil
Huseyin Atalay
Orhan Ozbek
Kultigin Turkmen
Ilker Polat
Suleyman Turk
author_facet Yalcin Solak
Abduzhappar Gaipov
Melih Anil
Huseyin Atalay
Orhan Ozbek
Kultigin Turkmen
Ilker Polat
Suleyman Turk
author_sort Yalcin Solak
collection DOAJ
description Rapidly progressive glomerulonephritis caused mycobacterium tuberculosis is rare; however, three case have been reported to date. Crescentic glomerulonephritis is a life-threatening disease and together with the presence of tuberculous infection is associated with a poor outcome if treatment is inadequate and delayed. We describe the case of a 31-year-old female patient with nephrotic syndrome and progressive renal failure secondary to pulmonary tuberculosis. Renal biopsy showed crescent formation in 14 out of 27 glomeruli, and there was diffuse linear staining of immunoglobulin G deposits. Treatment included corticosteroids in combination with antituberculosis drugs for 2 months, and resulted in a significant improvement in renal function, the disappearance of proteinuria and pulmonary symptoms. We also present a review of the pertinent literature and discuss the pathophysiology of tuberculosis-related acute postinfectious glomerulonephritis.
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spelling doaj.art-bbcbd8a4c4484d03b6eabb4bba2c074c2022-12-22T00:10:00ZengWileyKaohsiung Journal of Medical Sciences1607-551X2013-06-0129633734210.1016/j.kjms.2012.10.008Glomerulonephritis associated with tuberculosis: A case report and literature reviewYalcin Solak0Abduzhappar Gaipov1Melih Anil2Huseyin Atalay3Orhan Ozbek4Kultigin Turkmen5Ilker Polat6Suleyman Turk7Division of Nephrology, Department of Internal Medicine, Meram School of Medicine, Konya University, Meram, Konya, TurkeyDivision of Nephrology, Department of Internal Medicine, Meram School of Medicine, Konya University, Meram, Konya, TurkeyDivision of Nephrology, Department of Internal Medicine, Meram School of Medicine, Konya University, Meram, Konya, TurkeyDivision of Nephrology, Department of Internal Medicine, Meram School of Medicine, Konya University, Meram, Konya, TurkeyDepartment of Radiology, Meram School of Medicine, Konya University, Meram, Konya, TurkeyDivision of Nephrology, Department of Internal Medicine, Meram School of Medicine, Konya University, Meram, Konya, TurkeyDepartment of Internal Medicine, Meram School of Medicine, Konya University, Meram, Konya, TurkeyDivision of Nephrology, Department of Internal Medicine, Meram School of Medicine, Konya University, Meram, Konya, TurkeyRapidly progressive glomerulonephritis caused mycobacterium tuberculosis is rare; however, three case have been reported to date. Crescentic glomerulonephritis is a life-threatening disease and together with the presence of tuberculous infection is associated with a poor outcome if treatment is inadequate and delayed. We describe the case of a 31-year-old female patient with nephrotic syndrome and progressive renal failure secondary to pulmonary tuberculosis. Renal biopsy showed crescent formation in 14 out of 27 glomeruli, and there was diffuse linear staining of immunoglobulin G deposits. Treatment included corticosteroids in combination with antituberculosis drugs for 2 months, and resulted in a significant improvement in renal function, the disappearance of proteinuria and pulmonary symptoms. We also present a review of the pertinent literature and discuss the pathophysiology of tuberculosis-related acute postinfectious glomerulonephritis.http://www.sciencedirect.com/science/article/pii/S1607551X12003063Anti-tuberculosis treatmentCrescentic glomerulonephritisPulmonary tuberculosisRenal failure
spellingShingle Yalcin Solak
Abduzhappar Gaipov
Melih Anil
Huseyin Atalay
Orhan Ozbek
Kultigin Turkmen
Ilker Polat
Suleyman Turk
Glomerulonephritis associated with tuberculosis: A case report and literature review
Kaohsiung Journal of Medical Sciences
Anti-tuberculosis treatment
Crescentic glomerulonephritis
Pulmonary tuberculosis
Renal failure
title Glomerulonephritis associated with tuberculosis: A case report and literature review
title_full Glomerulonephritis associated with tuberculosis: A case report and literature review
title_fullStr Glomerulonephritis associated with tuberculosis: A case report and literature review
title_full_unstemmed Glomerulonephritis associated with tuberculosis: A case report and literature review
title_short Glomerulonephritis associated with tuberculosis: A case report and literature review
title_sort glomerulonephritis associated with tuberculosis a case report and literature review
topic Anti-tuberculosis treatment
Crescentic glomerulonephritis
Pulmonary tuberculosis
Renal failure
url http://www.sciencedirect.com/science/article/pii/S1607551X12003063
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