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一例罕见的伪装成塌陷性肾小球病的结核病病例。

A Rare Case of Tuberculosis Masquerading as Collapsing Glomerulopathy.

作者信息

Kotha Vishnu Keerthana, Bukka Vijay Chander, Niranjan M, Tiwari Ankit, Herur Siddharth, Swarnalatha G

机构信息

Department of Nephrology, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.

出版信息

Indian J Nephrol. 2025 May-Jun;35(3):434-436. doi: 10.25259/ijn_443_23. Epub 2024 Jun 17.

Abstract

Collapsing glomerulopathy (CG), usually presents with renal dysfunction, hypertension and proteinuria. The etiology is uncertain, yet a number of associations, including many viral infections commonly have been reported. Tuberculosis (TB), one of the most common infections, is not known to cause CG. We report a case of severe renal dysfunction requiring dialysis who had collapsing glomerulopathy on biopsy and evidence of active pulmonary tuberculosis. Anti-tubercular therapy alone resulted in improvement in kidney function.

摘要

塌陷性肾小球病(CG)通常表现为肾功能不全、高血压和蛋白尿。其病因尚不确定,但已报道了许多关联因素,包括多种病毒感染。结核病(TB)是最常见的感染之一,目前尚不清楚它是否会导致CG。我们报告了一例严重肾功能不全需要透析的病例,该患者活检显示为塌陷性肾小球病,并有活动性肺结核的证据。单独抗结核治疗使肾功能得到改善。

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