Cargando…

Uncommon cause of fever in a child with steroid-dependent nephrotic syndrome

Background: Children with nephrotic syndrome are vulnerable to developing infections due to a state of relative immunodeficiency, malnourishment, and use of immunosuppression. Case characteristics: We herein report the case of a 3-year-old child with steroid-dependent nephrotic syndrome who presente...

Descripción completa

Detalles Bibliográficos
Autores principales: Sethi, Sidharth Kumar, Bansal, Shyam, Chakraborty, Ronith, Jain, Rahul, Wadhwani, Nikita, Raina, Rupesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dustri-Verlag Dr. Karl Feistle 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7344764/
https://www.ncbi.nlm.nih.gov/pubmed/32656069
http://dx.doi.org/10.5414/CNCS110062
Descripción
Sumario:Background: Children with nephrotic syndrome are vulnerable to developing infections due to a state of relative immunodeficiency, malnourishment, and use of immunosuppression. Case characteristics: We herein report the case of a 3-year-old child with steroid-dependent nephrotic syndrome who presented to us with fever of unknown origin. Observation: The child was found to have an atypical mixed infection with mycoplasma and cytomegalovirus. Outcome: The infection completely resolved with appropriate treatment and lowering of immunosuppression. Message: Persistently febrile pediatric patients, especially in the setting of recent immunosuppression and absence of otherwise-identified infectious pathogens, should be screened for atypical mixed infections.