鼻病毒肺炎、横纹肌溶解引起的急性肾损伤和病毒后形成的红斑狼疮

Pub Date : 2024-07-01 Epub Date: 2023-08-04 DOI:10.4103/ijn.ijn_16_23

Vijoy Kumar Jha, Ramanjit Singh Akal, Bhanu Pratap Singh, Gurpreet K Walia, Tejesh B S, Debasish Mahapatra

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引用次数: 0

摘要

病毒性间质性肺炎很少与横纹肌溶解引起的急性肾损伤(AKI)和无狼疮发作的系统性红斑狼疮(SLE)相关。在这里，我们报告了一位患有人鼻病毒相关病毒性肺炎和横纹肌溶解相关AKI的成年男性，需要透析。检测抗核、抗smith、抗u1核糖核蛋白抗体阳性。肾活检显示肾小球正常，免疫荧光显示全屋型。在不使用任何免疫抑制剂的情况下，肾功能和肺功能逐渐恢复正常。

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Rhinovirus Pneumonia, Rhabdomyolysis-Induced Acute Kidney Injury, and Post-Viral Forme Fruste Lupus.

Viral interstitial pneumonia is rarely associated with rhabdomyolysis-induced acute kidney injury (AKI) and evolving systemic lupus erythematosus (SLE) with no lupus flare. Here, we report an adult male with human rhinovirus-associated viral pneumonia and rhabdomyolysis-related AKI requiring dialysis. He was detected to be anti-nuclear, anti-Smith, and anti-U1 ribonucleoprotein antibodies positive. His kidney biopsy revealed normal glomeruli, with immunofluorescence showing a full-house pattern. Renal function and lung function gradually improved to normal without any immunosuppressants.

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