[Acute renal failure and rare severe complication of systemic steroid treatment in a 73-year-old woman]. / Akutes Nierenversagen und seltene schwere Komplikation einer systemischen Steroidtherapie bei einer 73Jährigen.
Internist (Berl)
; 60(11): 1201-1208, 2019 Nov.
Article
em De
| MEDLINE
| ID: mdl-31511906
ABSTRACT
This article reports about a 73-year-old woman of Bosnian descent who presented with acute renal failure. A renal biopsy was diagnostic for a postinfect necrotizing and extracapillary proliferative glomerulonephritis. The patient reported a febrile infection fever 2 weeks previously. The diagnostics did not reveal any indications of an ongoing infection. The glomerulonephritis responded to treatment with systemic steroids. The patient was readmitted to hospital 6 weeeks later in a severely ill condition. A gastric biopsy revealed a Strongyloides stercoralis infestation. Due to the systemic steroid therapy the patient had developed a so-called hyperinfection syndrome and died despite treatment on the intensive care unit. This case illustrates the need for awareness of this rare parasitosis, particularly in patients from endemic areas. A likely causal relationship with the glomerulonephritis is discussed and an overview of the diagnostics, course of the disease and treatment of this parasitosis is given.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Esteroides
/
Estrongiloidíase
/
Prednisolona
/
Strongyloides stercoralis
/
Injúria Renal Aguda
/
Glomerulonefrite
Tipo de estudo:
Diagnostic_studies
Limite:
Aged
/
Animals
/
Female
/
Humans
Idioma:
De
Ano de publicação:
2019
Tipo de documento:
Article