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| 세균성 신내막염 환자에서 발생된 반월상 사구체 신염 (A Case of Crescentic Glomerulonephritis Associated with Bacterial Endocarditis) |
| 이진호(Jin Ho Lee),마경애(Kyung Ae Ma),김홍수(Hong Soo Kim),신규태(Kyu Tae Shin),김명성(Myung Sung Kim),서유진(Yu Jin Suh),이수진(Soo Jin Lee),김승정(Seung Jung Kim),김도헌(Do Heon Kim),신준한(Joon Han Shin),임현이(Hyun Ey Lee) |
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| Abstract |
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A 25-year-old male presented with mitral insufficiency, perimembranous type of ventricular septal defect, pulmonary edema and renal insufficiency. The initial serum creatinine level was 16.2mg/dl. Blood cultures were positive for Streptococcus viridans and appropriate antibiotic therapy was initiated. Renal biopsy revealed diffuse proliferative glomerulonephritis with crescents involving all of the glomeruli. Even after adequate duration of treatment with antibiotics, surgical therapy, and high dose steroid therapy, renal function did not recover and the patient ended up with continuous ambulatory peritoneal dialysis. We present a case of crescentic glomerulonephritis associated with bacterial endocarditis with a review of the literature. |
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