Infective endocarditis complicated with rapidly progressive glomerulonephritis: A case report

Giian Wei Gao, Shin Hua Lin, Yuh Feng Lin, Liang Kuang Diang, Kuo Cheng Lu, Fu Chiu Yu, Shang Der Shieh

研究成果: 雜誌貢獻文章

7 引文 (Scopus)

摘要

A 26-year-old man who had sufferred from intermittent chills and fever over a two month period was quite clear of heart or kidney involved developed acute deterioration of renal function. A new pansystolic murmur over the apex of the heart was heard on auscultation, and echocardiography clearly showed a vegetation about 0.7-0.9 cm in size on the atrial site of the mitral valve. Laboratory investigation displayed normochromic anemia with negative Coombs' test. Immunological studies were positive for rheumatoid factor and circulating immune complex. High serum levels of erythrocyte sedimentation rate and C-reactive protein, nephritic sediment of urinalysis and negative blood cultures for bacteria, tuberculosis or fungus were also noted. Abdominal sonography showed normal kidney size, bilaterally. Renal biopsy revealed typical crescentic glomerulonephritis. After intravenous penicillin therapy for two weeks, the serum creatinine level recovered from 6.7 mg/dl to 2.0 mg/dl and circulating immune complex disappeared. In consideration of cardiac insufficiency and the potential risk for complications of the vegetation, the patient underwent mitral valve replacement. Four weeks after operation, all the abnormal data had resolved completely. These data suggested that infective endocarditis with rapidly progressive glomerulonephritis is curable by antibiotic therapy and surgical intervention.

原文英語
頁(從 - 到)438-442
頁數5
期刊Chinese Medical Journal (Taipei)
57
發行號6
出版狀態已發佈 - 六月 1996
對外發佈Yes

指紋

Glomerulonephritis
Endocarditis
Kidney
Antigen-Antibody Complex
Mitral Valve
Coombs Test
Auscultation
Chills
Urinalysis
Rheumatoid Factor
Blood Sedimentation
Serum
Penicillins
C-Reactive Protein
Echocardiography
Anemia
Ultrasonography
Creatinine
Tuberculosis
Fungi

ASJC Scopus subject areas

  • Medicine(all)

引用此文

Gao, G. W., Lin, S. H., Lin, Y. F., Diang, L. K., Lu, K. C., Yu, F. C., & Shieh, S. D. (1996). Infective endocarditis complicated with rapidly progressive glomerulonephritis: A case report. Chinese Medical Journal (Taipei), 57(6), 438-442.

Infective endocarditis complicated with rapidly progressive glomerulonephritis : A case report. / Gao, Giian Wei; Lin, Shin Hua; Lin, Yuh Feng; Diang, Liang Kuang; Lu, Kuo Cheng; Yu, Fu Chiu; Shieh, Shang Der.

於: Chinese Medical Journal (Taipei), 卷 57, 編號 6, 06.1996, p. 438-442.

研究成果: 雜誌貢獻文章

Gao, GW, Lin, SH, Lin, YF, Diang, LK, Lu, KC, Yu, FC & Shieh, SD 1996, 'Infective endocarditis complicated with rapidly progressive glomerulonephritis: A case report', Chinese Medical Journal (Taipei), 卷 57, 編號 6, 頁 438-442.
Gao, Giian Wei ; Lin, Shin Hua ; Lin, Yuh Feng ; Diang, Liang Kuang ; Lu, Kuo Cheng ; Yu, Fu Chiu ; Shieh, Shang Der. / Infective endocarditis complicated with rapidly progressive glomerulonephritis : A case report. 於: Chinese Medical Journal (Taipei). 1996 ; 卷 57, 編號 6. 頁 438-442.
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