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Bartonella Endocarditis Mimicking Crescentic Glomerulonephritis with PR3-ANCA Positivity
Joint Authors
Vercellone, Joseph
Cohen, Lisa
Mansuri, Saima
Kellerman, Paul S.
Zhang, Ping L.
Source
Issue
Vol. 2018, Issue 2018 (31 Dec. 2018), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2018-08-19
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Bartonella henselae is a fastidious organism that causes cat scratch disease, commonly associated with fever and lymphadenopathy but, in rare instances, also results in culture-negative infectious endocarditis.
We describe a patient who presented with flank pain, splenic infarct, and acute kidney injury with an active urinary sediment, initially suspicious for vasculitis, which was subsequently diagnosed as B.
henselae endocarditis.
Bartonella endocarditis may present with a crescentic glomerulonephritis (GN) and elevated PR3-ANCA antibody titers, mimicking ANCA-associated GN, with 54 cases reported in the literature.
Unique to our case in this series is a positive PR3-ANCA antibody despite a negative IIF-ANCA.
Thus, the presentation of Bartonella can mimic ANCA-associated GN, and renal biopsy showing immune complex deposition is critical for diagnosis and appropriate treatment.
American Psychological Association (APA)
Vercellone, Joseph& Cohen, Lisa& Mansuri, Saima& Zhang, Ping L.& Kellerman, Paul S.. 2018. Bartonella Endocarditis Mimicking Crescentic Glomerulonephritis with PR3-ANCA Positivity. Case Reports in Nephrology،Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145267
Modern Language Association (MLA)
Vercellone, Joseph…[et al.]. Bartonella Endocarditis Mimicking Crescentic Glomerulonephritis with PR3-ANCA Positivity. Case Reports in Nephrology No. 2018 (2018), pp.1-4.
https://search.emarefa.net/detail/BIM-1145267
American Medical Association (AMA)
Vercellone, Joseph& Cohen, Lisa& Mansuri, Saima& Zhang, Ping L.& Kellerman, Paul S.. Bartonella Endocarditis Mimicking Crescentic Glomerulonephritis with PR3-ANCA Positivity. Case Reports in Nephrology. 2018. Vol. 2018, no. 2018, pp.1-4.
https://search.emarefa.net/detail/BIM-1145267
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1145267