Korean J Nephrol.  2000 Jul;19(4):740-744.

Acute Renal Failure and Ischemic Bowel Disease Complicated by Acute Pyelonephritis in a Patient with Systemic Lupus Erythematosus

• Choi YS
• Kim YO
• Jo JH
• Kim JS
• Hyun YG
• Suh JP
• Min JK
• Yoon SA
• Bang BK

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.

Keyword

Systemic lupus erythematosus; Acute renal failure; Ischemic bowel disease; Acute pyelonephritis

MeSH Terms

Abdominal Pain
Acute Kidney Injury*
Antibodies, Antinuclear
Ascites
Biopsy
Cyclophosphamide
Female
Fever
Flank Pain
Humans
Kidney
Lupus Erythematosus, Systemic*
Lupus Nephritis
Methylprednisolone
Oliguria
Proteinuria
Pyelonephritis*
Thrombocytopenia
Young Adult
Antibodies, Antinuclear
Cyclophosphamide
Methylprednisolone