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Information Journal Paper

Title

INFECTIVE ENDOCARDITIS MIMICS ANCA ASSOCIATED GLOMERULONEPHRITIS; CASE REPORT

Pages

  496-499

Abstract

 Background: SUB-ACUTE bacterial ENDOCARDITIS (SBE) rarely presents with features of a small vessel VASCULITIS. Patients with SBE can also develop multiple serological abnormalities including ANCA. In this report, we present a case of infective ENDOCARDITIS mimicked ANCA associated glomerulonephritis.Case presentation: A 57-year old male with a clinical picture of rapidly progressive renal failure (RPGN) and positive seology for PR3-ANCA (C-ANCA) was referred to our hospital. The renal histology findings were compatible with focal and segmental glomerular necrosis. After receiving corticosteroid therapy, the patient became febrile and his general condition worsened. Cardiac ultrasound echocardiographic study disclosed multiple large vegetation on the aortic valve. After appropriate antibiotic therapy and valvular surgery, the patient’s condition improved and his serum creatinine reached 1.7 mg/d.Conclusion: Misdiagnosis of SBE as ANCA-associated VASCULITIS and an inappropriate immunosuppressive therapy can have catastrophic consequences.

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    APA: Copy

    ARDALAN, MOHAMMAD REZA, & TRILLINI, MATIAS. (2012). INFECTIVE ENDOCARDITIS MIMICS ANCA ASSOCIATED GLOMERULONEPHRITIS; CASE REPORT. CASPIAN JOURNAL OF INTERNAL MEDICINE, 3(3 (11)), 496-499. SID. https://sid.ir/paper/323257/en

    Vancouver: Copy

    ARDALAN MOHAMMAD REZA, TRILLINI MATIAS. INFECTIVE ENDOCARDITIS MIMICS ANCA ASSOCIATED GLOMERULONEPHRITIS; CASE REPORT. CASPIAN JOURNAL OF INTERNAL MEDICINE[Internet]. 2012;3(3 (11)):496-499. Available from: https://sid.ir/paper/323257/en

    IEEE: Copy

    MOHAMMAD REZA ARDALAN, and MATIAS TRILLINI, “INFECTIVE ENDOCARDITIS MIMICS ANCA ASSOCIATED GLOMERULONEPHRITIS; CASE REPORT,” CASPIAN JOURNAL OF INTERNAL MEDICINE, vol. 3, no. 3 (11), pp. 496–499, 2012, [Online]. Available: https://sid.ir/paper/323257/en

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