Bartonella-Associated Endocarditis with Severe Active Crescentic Glomerulonephritis and Acute Renal Failure
Keyword(s):
We report a case of severe acute kidney failure due to crescentic glomerulonephritis who presented initially with culture-negative endocarditis with vegetations on the aortic valve. Anti-nuclear and anti-phospholipid antibodies were positive with initially negative anti-neutrophil cytoplasmic antibodies (ANCAs). Kidney biopsy revealed severe acute crescentic glomerulonephritis with mesangial immune complex deposition. PR3-ANCA subsequently become positive, and the patient developed worsening kidney failure requiring hemodialysis. This case illustrates that Bartonella can present as culture-negative endocarditis with severe crescentic glomerulonephritis with positive PR-3 ANCAs and can mimic ANCA-associated crescentic glomerulonephritis.
2014 ◽
Vol 2
(2)
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pp. 313-315
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2005 ◽
Vol 21
(10)
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pp. 470-474
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1990 ◽
Vol 9
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pp. 317-321
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2017 ◽
Vol 69
(11)
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pp. 2185
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2010 ◽
Vol 55
(10)
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pp. A150.E1407