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Cytomegalovirus infection can mimic genetic nephrotic syndrome: a case report.
Hogan, Julien; Fila, Marc; Baudouin, Véronique; Peuchmaur, Michel; Deschênes, Georges; Niel, Olivier.
Afiliação
  • Hogan J; Pediatric Nephrology Department, Robert Debré Hospital, 48 boulevard Sérurier, 75019, Paris, France. julien.hogan@aphp.fr.
  • Fila M; Pediatric Nephrology Department, Robert Debré Hospital, 48 boulevard Sérurier, 75019, Paris, France. marc.fila@aphp.fr.
  • Baudouin V; Pediatric Nephrology Department, Robert Debré Hospital, 48 boulevard Sérurier, 75019, Paris, France. veronique.baudouin@aphp.fr.
  • Peuchmaur M; Cytology and Pathology Department, Robert Debré Hospital, 48 boulevard Sérurier, 75019, Paris, France. michel.peuchmaur@aphp.fr.
  • Deschênes G; Pediatric Nephrology Department, Robert Debré Hospital, 48 boulevard Sérurier, 75019, Paris, France. georges.deschenes@aphp.fr.
  • Niel O; Pediatric Nephrology Department, Robert Debré Hospital, 48 boulevard Sérurier, 75019, Paris, France. o.r.p.niel@free.fr.
BMC Nephrol ; 16: 156, 2015 Sep 22.
Article em En | MEDLINE | ID: mdl-26395882
BACKGROUND: Nephrotic syndrome is a relatively rare but serious condition in children. Infantile nephrotic syndrome often has a genetic origin; the treatment is then symptomatic, with a poor prognosis, and a rapid evolution to chronic kidney disease. However, non-genetic infantile nephrotic syndrome has been identified. Here we report for the first time in a child a nephrotic syndrome as the sole clinical expression of a cytomegalovirus infection. CASE PRESENTATION: The patient was 5 months old when he presented with a nephrotic syndrome. An exhaustive genetic testing was conducted and came back negative. A viral work-up only showed a positive cytomegalovirus PCR. Antiviral treatment lead to a complete remission of the nephrotic syndrome, with no requirement for steroid therapy. Renal function remained normal throughout follow-up. CONCLUSION: Nephrotic syndrome should always be carefully investigated in children. This observation reinforces the connection between viral infections and pediatric nephrotic syndrome, sparking more controversy about an infectious origin to childhood nephrotic disease.
Assuntos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por Citomegalovirus / Síndrome Nefrótica Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Humans / Infant / Male Idioma: En Ano de publicação: 2015 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Infecções por Citomegalovirus / Síndrome Nefrótica Tipo de estudo: Diagnostic_studies / Prognostic_studies Limite: Humans / Infant / Male Idioma: En Ano de publicação: 2015 Tipo de documento: Article