Post-Staphylococcal infection Henoch-Schonlein purpura nephritis: a case report and review of the literature

被引：13

作者：

Mandai, Shintaro ^{[1
]}

Aoyagi, Makoto ^{[1
]}

Nagahama, Kiyotaka ^{[2
]}

Arai, Yohei ^{[1
]}

Hirasawa, Suguru ^{[1
]}

Aki, Shota ^{[1
]}

Inaba, Naoto ^{[1
]}

Tanaka, Hiroyuki ^{[1
]}

Tsuura, Yukio ^{[3
]}

Tamura, Teiichi ^{[1
]}

Sasaki, Sei ^{[4
]}

机构：

[1] Yokosuka Kyosai Hosp, Dept Nephrol, Yokosuka, Kanagawa 2388558, Japan

[2] Yokohama City Univ, Dept Pathol, Sch Med, Yokohama, Kanagawa, Japan

[3] Yokosuka Kyosai Hosp, Dept Pathol, Yokosuka, Kanagawa 2388558, Japan

[4] Tokyo Med & Dent Univ, Grad Sch Med, Dept Nephrol, Tokyo, Japan

来源：

RENAL FAILURE | 2013年 / 35卷 / 06期

关键词：

Henoch-Schonlein purpura; immunoglobulin A; nephrotic syndrome; postinfectious glomerulonephritis; Staphylococcus; POSTINFECTIOUS GLOMERULONEPHRITIS; AUREUS INFECTION; ADULTS;

D O I：

10.3109/0886022X.2013.794703

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A 37-year-old man developed Henoch-Schonlein purpura nephritis (HSPN) with nephrotic syndrome and rapidly progressive glomerulonephritis after otitis media and externa due to methicillin-resistant Staphylococcus aureus infection. Despite resolution of the infection and prednisolone therapy, his kidney disease worsened. However, the addition of cyclosporine A finally resulted in complete remission of the nephrotic syndrome. A review of similar cases with post-Staphylococcal infection HSPN revealed strong similarities between this entity and immunoglobulin A-dominant postinfectious glomerulonephritis (IgA-PIGN), an increasingly recognized form of PIGN typically associated with Staphylococcal infection, in both clinical and morphological features. Post-Staphylococcal infection HSPN may constitute a subgroup of IgA-PIGN.

引用

页码：869 / 874

页数：6

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