Cargando…

Streptococcal Infection-related Glomerulonephritis in an Elderly Diabetic Patient Complicated by Hemophagocytic Syndrome and Cytomegalovirus Nephritis

There has been a significant shift in epidemiology and renal outcomes of infection-related glomerulonephritis (IRGN) in recent years. The renal prognosis of IRGN is often poor in adults, especially in the elderly and diabetics. We herein report an elderly diabetic patient with IRGN due to streptococ...

Descripción completa

Detalles Bibliográficos
Autores principales: Nagayama, Yoshikuni, Edamoto, Mio, Komine, Yuna, Nakai, Hiroki, Ichikura-Iida, Ayana, Inoue, Takashi, Ono, Kyoko, Otani, Masako, Iwasaki, Shigeki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9908401/
https://www.ncbi.nlm.nih.gov/pubmed/35768220
http://dx.doi.org/10.2169/internalmedicine.9314-21
_version_ 1784884368403070976
author Nagayama, Yoshikuni
Edamoto, Mio
Komine, Yuna
Nakai, Hiroki
Ichikura-Iida, Ayana
Inoue, Takashi
Ono, Kyoko
Otani, Masako
Iwasaki, Shigeki
author_facet Nagayama, Yoshikuni
Edamoto, Mio
Komine, Yuna
Nakai, Hiroki
Ichikura-Iida, Ayana
Inoue, Takashi
Ono, Kyoko
Otani, Masako
Iwasaki, Shigeki
author_sort Nagayama, Yoshikuni
collection PubMed
description There has been a significant shift in epidemiology and renal outcomes of infection-related glomerulonephritis (IRGN) in recent years. The renal prognosis of IRGN is often poor in adults, especially in the elderly and diabetics. We herein report an elderly diabetic patient with IRGN due to streptococcal infection complicated by hemophagocytic syndrome and cytomegalovirus nephritis, which is uncommon among non-transplant patients. Infection control and steroids did not recover the patient's renal function. For elderly IRGN patients with diabetes, a further investigation of the most effective treatment for related renal outcomes is needed.
format Online
Article
Text
id pubmed-9908401
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher The Japanese Society of Internal Medicine
record_format MEDLINE/PubMed
spelling pubmed-99084012023-02-14 Streptococcal Infection-related Glomerulonephritis in an Elderly Diabetic Patient Complicated by Hemophagocytic Syndrome and Cytomegalovirus Nephritis Nagayama, Yoshikuni Edamoto, Mio Komine, Yuna Nakai, Hiroki Ichikura-Iida, Ayana Inoue, Takashi Ono, Kyoko Otani, Masako Iwasaki, Shigeki Intern Med Case Report There has been a significant shift in epidemiology and renal outcomes of infection-related glomerulonephritis (IRGN) in recent years. The renal prognosis of IRGN is often poor in adults, especially in the elderly and diabetics. We herein report an elderly diabetic patient with IRGN due to streptococcal infection complicated by hemophagocytic syndrome and cytomegalovirus nephritis, which is uncommon among non-transplant patients. Infection control and steroids did not recover the patient's renal function. For elderly IRGN patients with diabetes, a further investigation of the most effective treatment for related renal outcomes is needed. The Japanese Society of Internal Medicine 2022-06-28 2023-01-15 /pmc/articles/PMC9908401/ /pubmed/35768220 http://dx.doi.org/10.2169/internalmedicine.9314-21 Text en Copyright © 2023 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Nagayama, Yoshikuni
Edamoto, Mio
Komine, Yuna
Nakai, Hiroki
Ichikura-Iida, Ayana
Inoue, Takashi
Ono, Kyoko
Otani, Masako
Iwasaki, Shigeki
Streptococcal Infection-related Glomerulonephritis in an Elderly Diabetic Patient Complicated by Hemophagocytic Syndrome and Cytomegalovirus Nephritis
title Streptococcal Infection-related Glomerulonephritis in an Elderly Diabetic Patient Complicated by Hemophagocytic Syndrome and Cytomegalovirus Nephritis
title_full Streptococcal Infection-related Glomerulonephritis in an Elderly Diabetic Patient Complicated by Hemophagocytic Syndrome and Cytomegalovirus Nephritis
title_fullStr Streptococcal Infection-related Glomerulonephritis in an Elderly Diabetic Patient Complicated by Hemophagocytic Syndrome and Cytomegalovirus Nephritis
title_full_unstemmed Streptococcal Infection-related Glomerulonephritis in an Elderly Diabetic Patient Complicated by Hemophagocytic Syndrome and Cytomegalovirus Nephritis
title_short Streptococcal Infection-related Glomerulonephritis in an Elderly Diabetic Patient Complicated by Hemophagocytic Syndrome and Cytomegalovirus Nephritis
title_sort streptococcal infection-related glomerulonephritis in an elderly diabetic patient complicated by hemophagocytic syndrome and cytomegalovirus nephritis
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9908401/
https://www.ncbi.nlm.nih.gov/pubmed/35768220
http://dx.doi.org/10.2169/internalmedicine.9314-21
work_keys_str_mv AT nagayamayoshikuni streptococcalinfectionrelatedglomerulonephritisinanelderlydiabeticpatientcomplicatedbyhemophagocyticsyndromeandcytomegalovirusnephritis
AT edamotomio streptococcalinfectionrelatedglomerulonephritisinanelderlydiabeticpatientcomplicatedbyhemophagocyticsyndromeandcytomegalovirusnephritis
AT komineyuna streptococcalinfectionrelatedglomerulonephritisinanelderlydiabeticpatientcomplicatedbyhemophagocyticsyndromeandcytomegalovirusnephritis
AT nakaihiroki streptococcalinfectionrelatedglomerulonephritisinanelderlydiabeticpatientcomplicatedbyhemophagocyticsyndromeandcytomegalovirusnephritis
AT ichikuraiidaayana streptococcalinfectionrelatedglomerulonephritisinanelderlydiabeticpatientcomplicatedbyhemophagocyticsyndromeandcytomegalovirusnephritis
AT inouetakashi streptococcalinfectionrelatedglomerulonephritisinanelderlydiabeticpatientcomplicatedbyhemophagocyticsyndromeandcytomegalovirusnephritis
AT onokyoko streptococcalinfectionrelatedglomerulonephritisinanelderlydiabeticpatientcomplicatedbyhemophagocyticsyndromeandcytomegalovirusnephritis
AT otanimasako streptococcalinfectionrelatedglomerulonephritisinanelderlydiabeticpatientcomplicatedbyhemophagocyticsyndromeandcytomegalovirusnephritis
AT iwasakishigeki streptococcalinfectionrelatedglomerulonephritisinanelderlydiabeticpatientcomplicatedbyhemophagocyticsyndromeandcytomegalovirusnephritis