Jha Vijoy Kumar, Akal Ramanjit Singh, Singh Bhanu Pratap, Walia Gurpreet K, B S Tejesh, Mahapatra Debasish
Physician and Nephrologist, Department of Nephrology, Command Hospital Air Force Bangalore, Karnataka, India.
Radiologist, Command Hospital Air Force Bangalore, Karnataka, India.
Indian J Nephrol. 2024 Jul-Aug;34(4):389-392. doi: 10.4103/ijn.ijn_16_23. Epub 2023 Aug 4.
Viral interstitial pneumonia is rarely associated with rhabdomyolysis-induced acute kidney injury (AKI) and evolving systemic lupus erythematosus (SLE) with no lupus flare. Here, we report an adult male with human rhinovirus-associated viral pneumonia and rhabdomyolysis-related AKI requiring dialysis. He was detected to be anti-nuclear, anti-Smith, and anti-U1 ribonucleoprotein antibodies positive. His kidney biopsy revealed normal glomeruli, with immunofluorescence showing a full-house pattern. Renal function and lung function gradually improved to normal without any immunosuppressants.
病毒性间质性肺炎很少与横纹肌溶解诱导的急性肾损伤（AKI）以及无狼疮活动的进展性系统性红斑狼疮（SLE）相关。在此，我们报告一名成年男性，患有与人类鼻病毒相关的病毒性肺炎和需要透析的横纹肌溶解相关AKI。检测发现他的抗核抗体、抗史密斯抗体和抗U1核糖核蛋白抗体呈阳性。他的肾脏活检显示肾小球正常，免疫荧光呈满堂亮模式。在未使用任何免疫抑制剂的情况下，肾功能和肺功能逐渐恢复正常。
