Korean J Nephrol.  1999 Sep;18(5):820-824.

A Case of Crescentic Glomerulonephritis Associated with Bacterial Endocarditis

Affiliations
  • 1Department of Nephrology, School of Medicine, Ajou University, Suwon, Korea.
  • 2Department of Cardiology, School of Medicine, Ajou University, Suwon, Korea.
  • 3Department of Pathology, School of Medicine, Ajou University, Suwon, Korea.

Abstract

A 25-year-old male presented with mitral insufficiency, perimembranous type of ventricular septal defect, pulmonary edema and renal insufficiency. The initial serum creatinine level was 16.2mg/dl. Blood cultures were positive for Streptococcus viridans and appropriate antibiotic therapy was initiated. Renal biopsy revealed diffuse proliferative glomerulonephritis with crescents involving all of the glomeruli. Even after adequate duration of treatment with antibiotics, surgical therapy, and high dose steroid therapy, renal function did not recover and the patient ended up with continuous ambulatory peritoneal dialysis. We present a case of crescentic glomerulonephritis associated with bacterial endocarditis with a review of the literature.

Keyword

Bacterial endocarditis; Crescentic glomerulonephritis; Streptococcus viridans; renal failure

MeSH Terms

Adult
Anti-Bacterial Agents
Biopsy
Creatinine
Endocarditis, Bacterial*
Glomerulonephritis*
Heart Septal Defects, Ventricular
Humans
Male
Mitral Valve Insufficiency
Peritoneal Dialysis, Continuous Ambulatory
Pulmonary Edema
Renal Insufficiency
Viridans Streptococci
Anti-Bacterial Agents
Creatinine
Full Text Links
  • KJN
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr