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Glomerulonephritis after Methicillin-resistant Staphylococcus aureus Infection Resulting in End-stage Renal Failure
- Source :
- Internal medicine. 40(5):424-427
- Publication Year :
- 2001
- Publisher :
- 日本内科学会, 2001.
-
Abstract
- A 58-year-old man developed proteinuria and renal dysfunction following pneumonia caused by methicillin-resistant Staphylococcus aureus (MRSA). Vancomycin was administered, and prednisolone pulse therapy and plasmapheresis were performed. Subsequently, serum creatinine was decreased. Eight months later, creatinine and CRP were again elevated, and MRSA was detected. Vancomycin was again administered and plasmapheresis was performed. However, renal function was not improved and continuous hemodialysis was initiated. This case indicates that complete eradication of MRSA is necessary to treat MRSA-associated glomerulonephritis, and if this is not attained, a permanent loss of renal function occurs.
- Subjects :
- Male
medicine.medical_specialty
Staphylococcus aureus
prednisolone pulse therapy
medicine.medical_treatment
Penicillin Resistance
Prednisolone
vancomycin
Renal function
Penicillins
medicine.disease_cause
Gastroenterology
superantigen
chemistry.chemical_compound
Methicillin
Glomerulonephritis
Internal medicine
Internal Medicine
medicine
Humans
Glucocorticoids
Creatinine
Proteinuria
business.industry
General Medicine
biochemical phenomena, metabolism, and nutrition
Middle Aged
Staphylococcal Infections
bacterial infections and mycoses
medicine.disease
Methicillin-resistant Staphylococcus aureus
Surgery
Anti-Bacterial Agents
chemistry
plasmapheresis
Vancomycin
Kidney Failure, Chronic
Plasmapheresis
medicine.symptom
business
medicine.drug
Kidney disease
Subjects
Details
- Language :
- English
- ISSN :
- 09182918
- Volume :
- 40
- Issue :
- 5
- Database :
- OpenAIRE
- Journal :
- Internal medicine
- Accession number :
- edsair.doi.dedup.....6080f6fbdfb17ccb773f5ee93dda431c