Autor: |
Marcelo Santos Sampaio, Grigoriy Alexander Shekhtman, Mandana Rastegar, Richard Michael Treger, Glenn Tetsu Nagami, Jonathan Eric Zuckerman |
Jazyk: |
angličtina |
Rok vydání: |
2021 |
Předmět: |
|
Zdroj: |
Human Pathology Reports, Vol 26, Iss , Pp 300563- (2021) |
Druh dokumentu: |
article |
ISSN: |
2772-736X |
DOI: |
10.1016/j.hpr.2021.300563 |
Popis: |
Introduction: Syphilis is a sexually transmitted disease caused by the bacterium Treponema Pallidum and has a diverse clinical presentation, including nephropathies, the most common of which is membranous nephropathy. Crescentic glomerulonephritis is not typically considered to be a manifestation of Syphilis associated renal disease. Case presentation: Here we describe an unusual case of crescentic glomerulonephritis associated with secondary syphilis resulting in a rapidly progressing glomerulonephritis presentation requiring hemodialysis. The patient was treated with Penicillin G and intravenous solumedrol. The patient’s kidney function recovered and several months after presentation the patient was asymptomatic off hemodialysis with a serum creatinine of 1.54 mg/dL. Discussion/conclusion: Secondary syphilis rarely presents with rapidly progressive glomerulonephritis. This report is only the third such case reported to date of a diffuse necrotizing/crescentic glomerulonephritis resulting from a syphilis infection. As syphilis is on the rise, this report highlights an important differential diagnostic consideration for any necrotizing/crescentic glomerulonephritis. |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
|