肠球菌性心内膜炎所致新月体性肾小球肾炎
Crescentic Glomerulonephritis Due to Enterococcal Endocarditis.
作者信息
Klarić Dragan, Žutelija Marta, Šenjug Petar, Klarić Marta, Galešić Ljubanović Danica
机构信息
Department of Nephrology and Dialysis, Zadar General Hospital, Bože Peričića 5, 23000 Zadar, Croatia.
Unit of Nephropathology and Electron Microscopy, Department of Pathology and Cytology, Dubrava University Hospital, School of Medicine, University of Zegreb, 10000 Zagreb, Croatia.
出版信息
J Pers Med. 2023 Jul 30;13(8):1212. doi: 10.3390/jpm13081212.
Glomerulonephritis following an enterococcal endocarditis is an extremely rare and life-threatening condition. We present the case of a 71-year-old patient with rapidly progressive glomerulonephritis following enterococcal endocarditis after surgical replacement of the aortic valve. The combination of antibiotic therapy, corticosteroid therapy and haemodialysis led to an improvement in renal function; however, the severity of cardiac deterioration resulted in a fatal outcome.
肠球菌性心内膜炎后并发的肾小球肾炎是一种极其罕见且危及生命的疾病。我们报告一例71岁患者，在主动脉瓣手术置换后发生肠球菌性心内膜炎，继而出现快速进展性肾小球肾炎。抗生素治疗、皮质类固醇治疗和血液透析相结合使肾功能有所改善；然而，心脏恶化的严重程度导致了致命的结局。
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