Mehmood Maham A, Gurjar Hitesh, Sindhu Tegveer, Haider Asim, Arshad Mahnoor
Internal Medicine, BronxCare Health System, New York, USA.
Internal Medicine, Faisalabad Medical University, Faisalabad, PAK.
Cureus. 2021 Feb 4;13(2):e13138. doi: 10.7759/cureus.13138.
Here we report a case of a 65-year-old female, where we encountered acute glomerulonephritis. The patient initially presented with a hemorrhagic blister involving the second through fourth toes with serosanguinous discharge and was on hydralazine for blood pressure control. Differentials included Staphylococcus-associated/lupus nephritis/anti-neutrophil cytoplasmic autoantibody (ANCA) vasculitis. Still, detailed history and meticulous clinical approach with supporting labs and imaging helped us to narrow it to Staphylococcus-associated glomerulonephritis, which is rarely encountered in clinical practice and is associated with high mortality. The management of the patient resulted in a positive outcome and she was discharged home.
在此，我们报告一例65岁女性患者，我们在其身上发现了急性肾小球肾炎。该患者最初表现为第二至第四趾出现出血性水疱，伴有浆液性血性分泌物，当时正在服用肼屈嗪控制血压。鉴别诊断包括葡萄球菌相关性/狼疮性肾炎/抗中性粒细胞胞浆抗体（ANCA）血管炎。尽管如此，详细的病史以及结合辅助实验室检查和影像学的细致临床方法帮助我们将范围缩小至葡萄球菌相关性肾小球肾炎，这种疾病在临床实践中很少见，且死亡率很高。对该患者的治疗取得了积极效果，她已出院回家。
