A Curious Case of Acute Glomerulonephritis — Staphylococcus vs Lupus: Case Report and Literature Review

Here we report a case of a 65-year-old female, where we encountered acute glomerulonephritis. The patient initially presented with a hemorrhagic blister involving the second through fourth toes with serosanguinous discharge and was on hydralazine for blood pressure control. Differentials included St...

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Detalles Bibliográficos
Autores principales: Mehmood, Maham A, Gurjar, Hitesh, Sindhu, Tegveer, Haider, Asim, Arshad, Mahnoor
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
Infectious Disease
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7935242/
https://www.ncbi.nlm.nih.gov/pubmed/33728152
http://dx.doi.org/10.7759/cureus.13138
Descripción
Sumario:Here we report a case of a 65-year-old female, where we encountered acute glomerulonephritis. The patient initially presented with a hemorrhagic blister involving the second through fourth toes with serosanguinous discharge and was on hydralazine for blood pressure control. Differentials included Staphylococcus-associated/lupus nephritis/anti-neutrophil cytoplasmic autoantibody (ANCA) vasculitis. Still, detailed history and meticulous clinical approach with supporting labs and imaging helped us to narrow it to Staphylococcus-associated glomerulonephritis, which is rarely encountered in clinical practice and is associated with high mortality. The management of the patient resulted in a positive outcome and she was discharged home. 

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