Universität zu Köln

Bramstedt, J., Becker, J. U., Wrede, R., Schmiedel, S., Riemer, C. and Back, W. (2019). Acute renal failure and rare severe complication of systemic steroid treatment in a 73-year-old woman. Internist, 60 (11). S. 1201 - 1209. HEIDELBERG: SPRINGER HEIDELBERG. ISSN 1432-1289

Full text not available from this repository.

Abstract

This article reports about a 73-year-old woman of Bosnian descent who presented with acute renal failure. A renal biopsy was diagnostic for a postinfect necrotizing and extracapillary proliferative glomerulonephritis. The patient reported a febrile infection fever 2 weeks previously. The diagnostics did not reveal any indications of an ongoing infection. The glomerulonephritis responded to treatment with systemic steroids. The patient was readmitted to hospital 6 weeeks later in a severely ill condition. A gastric biopsy revealed a Strongyloides stercoralis infestation. Due to the systemic steroid therapy the patient had developed a so-called hyperinfection syndrome and died despite treatment on the intensive care unit. This case illustrates the need for awareness of this rare parasitosis, particularly in patients from endemic areas. A likely causal relationship with the glomerulonephritis is discussed and an overview of the diagnostics, course of the disease and treatment of this parasitosis is given.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Bramstedt, J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Becker, J. U. UNSPECIFIED UNSPECIFIED UNSPECIFIED Wrede, R. UNSPECIFIED UNSPECIFIED UNSPECIFIED Schmiedel, S. UNSPECIFIED UNSPECIFIED UNSPECIFIED Riemer, C. UNSPECIFIED UNSPECIFIED UNSPECIFIED Back, W. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-129649
DOI:	10.1007/s00108-019-00677-z
Journal or Publication Title:	Internist
Volume:	60
Number:	11
Page Range:	S. 1201 - 1209
Date:	2019
Publisher:	SPRINGER HEIDELBERG
Place of Publication:	HEIDELBERG
ISSN:	1432-1289
Language:	German
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language STRONGYLOIDES-STERCORALIS INFECTION; POSTINFECTIOUS GLOMERULONEPHRITIS; NEPHROTIC SYNDROME; PATIENT; EOSINOPHILIA; PCR Multiple languages Medicine, General & Internal Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/12964