1. Case report: membranoproliferative glomerulonephritis associated with Q fever causing chronic endocarditis.
- Author
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Loyen, Martin, Wiech, Thorsten, Reuter, Stefan, and Thölking, Gerold
- Subjects
AORTIC valve ,MITRAL valve ,THERAPEUTICS ,FATIGUE (Physiology) ,AGRICULTURAL intensification - Abstract
Background: Membranoproliferative glomerulonephritis is a rare entity which can be a result from autoimmune diseases, caused by various medications and infections. Case presentation: We herein present the case of a 62-year-old male patient who presented with fatigue and was found to have severe anemia, impaired renal function, and nephrotic syndrome. A renal biopsy revealed membranoproliferative glomerulonephritis (MPGN) of the immune complex type with activation of the classical complement pathway. Further investigations led to the diagnosis of a chronic Coxiella burnetii-infection (Q fever), likely acquired during cycling trips in a region known for intensive sheep farming. Additionally, the patient was found to have a post endocarditic destructive bicuspid aortic valve caused by this pathogen. Treatment with hydroxychloroquine and doxycycline was administered for a duration of 24 months. The aortic valve was replaced successfully and the patient recovered completely. Conclusions: Early detection and targeted treatment of this life-threatening disease is crucial for complete recovery of the patient. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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