Document Detail


Transient IgA nephropathy with acute kidney injury in a patient with dengue fever.
MedLine Citation:
PMID:  20427882     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Dengue virus infection can clinically manifest as dengue fever, dengue shock syndrome and dengue hemorrhagic fever. Acute kidney injury as a result of dengue virus infection can occur due to various reasons including hypotension, rhabdomyolysis, sepsis and rarely immune complex mediated glomerular injury. However, glomerulonephritis associated with IgA Nephropathy in dengue virus infection has not been reported previously. We report a case of 15-year-old boy who was admitted with dengue fever and dialysis dependant acute kidney injury. Urine examination showed microscopic glomerular hematuria and proteinuria. Kidney biopsy showed mesangial proliferation with mesangial IgA dominant immune complex deposits and acute tubular necrosis. A repeated kidney biopsy 6 weeks after clinical recovery showed reversal of glomerular changes as well as resolution of mesangial IgA deposits.
Authors:
Bala Krishna Upadhaya; Alok Sharma; Ambar Khaira; Amit K Dinda; Sanjay K Agarwal; Suresh C Tiwari
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Saudi journal of kidney diseases and transplantation : an official publication of the Saudi Center for Organ Transplantation, Saudi Arabia     Volume:  21     ISSN:  1319-2442     ISO Abbreviation:  Saudi J Kidney Dis Transpl     Publication Date:  2010 May 
Date Detail:
Created Date:  2010-07-19     Completed Date:  2010-08-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9436968     Medline TA:  Saudi J Kidney Dis Transpl     Country:  Saudi Arabia    
Other Details:
Languages:  eng     Pagination:  521-5     Citation Subset:  IM    
Affiliation:
Department of Nephrology, All India Institute of Medical Sciences, New Delhi, India.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Anti-Infective Agents / therapeutic use
Biopsy
Dengue / complications*,  diagnosis,  immunology,  therapy
Fluorescent Antibody Technique
Glomerulonephritis, IGA / diagnosis,  immunology,  therapy,  virology*
Glomerulonephritis, Membranoproliferative / diagnosis,  immunology,  therapy,  virology*
Hematuria / virology
Humans
Kidney Cortex Necrosis / diagnosis,  immunology,  therapy,  virology*
Kidney Glomerulus / pathology
Male
Proteinuria / virology
Renal Dialysis
Treatment Outcome
Urine / chemistry,  cytology
Chemical
Reg. No./Substance:
0/Anti-Infective Agents

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