Necrotizing ANCA-Positive Glomerulonephritis Secondary to Culture-Negative Endocarditis

Infective endocarditis (IE) and small-vessel vasculitis may have similar clinical features, including glomerulonephritis. Furthermore the association between IE and ANCA positivity is well documented, making differential diagnosis between IE- and ANCA-associated vasculitis particularly difficult, es...

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Detalles Bibliográficos
Autores principales: Van Haare Heijmeijer, Sophie, Wilmes, Dunja, Aydin, Selda, Clerckx, Caroline, Labriola, Laura
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2015
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4706874/
https://www.ncbi.nlm.nih.gov/pubmed/26819786
http://dx.doi.org/10.1155/2015/649763
Descripción
Sumario:Infective endocarditis (IE) and small-vessel vasculitis may have similar clinical features, including glomerulonephritis. Furthermore the association between IE and ANCA positivity is well documented, making differential diagnosis between IE- and ANCA-associated vasculitis particularly difficult, especially in case of culture-negative IE. We report on one patient with glomerulonephritis secondary to culture-negative IE caused by Bartonella henselae which illustrates this diagnostic difficulty.

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