与妊娠有关的急性肾损伤--感染性心内膜炎--感染相关性肾小球肾炎的罕见病因

Nikhil Chaudhary, Shivendra Singh
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引用次数: 0

摘要

妊娠相关急性肾损伤(PRAKI)通常是由脓毒性流产引起的,占急性肾损伤(AKI)的15%-25%。肾小球肾炎是导致妊娠相关急性肾损伤的罕见病因。该病例是一名20岁的初产妇,在妊娠最后三个月出现感染性心内膜炎相关性肾小球肾炎,同时并发脾梗塞、AKI和胎儿宫内死亡。肾活检显示她患有新月体性肾小球肾炎,接受抗生素和类固醇治疗后病情有所好转。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A rare cause of pregnancy-related acute kidney injury-infective endocarditis-associated infection-related glomerulonephritis
Pregnancy-related acute kidney injury (PRAKI) commonly occurs due to septic abortion and accounts for 15–25% of acute kidney injury (AKI). Glomerulonephritis is a rare cause of PRAKI. The index case was a 20-year-old primigravida who presented in the last trimester of pregnancy with infective endocarditis-associated glomerulonephritis, also complicated by splenic infarct, AKI, and intrauterine fetal death. Renal biopsy revealed crescentic glomerulonephritis and she improved on antibiotic and steroid therapy.
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