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血浆置换治疗新月体性感染后肾小球肾炎:病例报告。

Plasmapheresis for the Treatment of Crescentic Postinfectious Glomerulonephritis: A Case Report.

机构信息

Department of Nephrology, Faculty of Medicine, Trakya University, Edirne, Turkey,

Department of Internal Medicine, Faculty of Medicine, Trakya University, Edirne, Turkey.

出版信息

Blood Purif. 2020;49(1-2):125-128. doi: 10.1159/000502333. Epub 2019 Aug 16.

Abstract

Postinfectious glomerulonephritis (PIGN) is an immune-mediated glomerulonephritis caused by bacterial infections. Treatment of PIGN includes appropriate treatment of underlying infection and supportive treatment of the nephritic syndrome. Immunosuppressive drugs may be used to treat PIGN who have a renal failure with or without crescents and suggested only to the patients who does not have an active infection. We report a case who had PIGN secondary to a chronic foot infection and successfully treated with plasmapheresis for the first time in the literature.

摘要

感染后肾小球肾炎(PIGN)是一种由细菌感染引起的免疫介导性肾小球肾炎。PIGN 的治疗包括对基础感染的适当治疗和肾病综合征的支持治疗。免疫抑制剂可用于治疗伴有或不伴有新月体的肾功能衰竭的 PIGN,并且仅建议无活动性感染的患者使用。我们报告了一例继发于慢性足部感染的 PIGN 病例,首次在文献中成功采用血浆置换治疗。

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