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Atypical Presentation of IgA Nephropathy Mimicking Acute Pyelonephritis
Joint Authors
Karakonstantis, Stamatis
Galani, Despoina
Korela, Dafni
Pitsigavdaki, Sofia
Kassotaki, Ifigeneia
Arna, Despoina
Xydakis, Dimitrios
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-3, 3 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-06-13
Country of Publication
Egypt
No. of Pages
3
Main Subjects
Abstract EN
Background.
IgA glomerulonephritis may present with hematuria, flank pain, and fever.
This clinical presentation may be easily confused with acute pyelonephritis.
Case Report.
We present the case of a 25-year-old female with a typical clinical presentation for acute pyelonephritis (high fever, left flank pain, left costovertebral angle tenderness, hematuria, elevated inflammatory markers, and a hypoenhancing region in the left kidney on contrast-enhanced computed tomography).
However, urine and blood cultures were both negative, the serum creatinine was elevated, and the urinalysis revealed significant proteinuria and dysmorphic red blood cells.
A kidney biopsy confirmed a diagnosis of IgA nephropathy.
She was treated with a combination of lisinopril and methylprednisolone, with good response.
Conclusion.
Gross hematuria, especially in the absence of pyuria or bacteriuria, should raise the suspicion for underlying IgA nephropathy, even if the rest of the clinical presentation is typical for a urinary tract infection.
The presence of significant proteinuria, red blood cell casts, and dysmorphic red blood cells are useful clues suggesting glomerular disease.
American Psychological Association (APA)
Karakonstantis, Stamatis& Galani, Despoina& Korela, Dafni& Pitsigavdaki, Sofia& Kassotaki, Ifigeneia& Arna, Despoina…[et al.]. 2018. Atypical Presentation of IgA Nephropathy Mimicking Acute Pyelonephritis. Case Reports in Medicine،Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1145118
Modern Language Association (MLA)
Karakonstantis, Stamatis…[et al.]. Atypical Presentation of IgA Nephropathy Mimicking Acute Pyelonephritis. Case Reports in Medicine No. 2018 (2018), pp.1-3.
https://search.emarefa.net/detail/BIM-1145118
American Medical Association (AMA)
Karakonstantis, Stamatis& Galani, Despoina& Korela, Dafni& Pitsigavdaki, Sofia& Kassotaki, Ifigeneia& Arna, Despoina…[et al.]. Atypical Presentation of IgA Nephropathy Mimicking Acute Pyelonephritis. Case Reports in Medicine. 2018. Vol. 2018, no. 2018, pp.1-3.
https://search.emarefa.net/detail/BIM-1145118
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145118