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

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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:
CreatorsEmailORCIDORCID Put Code
Bramstedt, J.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Becker, J. U.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Wrede, R.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schmiedel, S.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Riemer, C.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Back, W.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
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:
KeywordsLanguage
STRONGYLOIDES-STERCORALIS INFECTION; POSTINFECTIOUS GLOMERULONEPHRITIS; NEPHROTIC SYNDROME; PATIENT; EOSINOPHILIA; PCRMultiple languages
Medicine, General & InternalMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/12964

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