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Article ; Online: Membranoproliferative glomerulonephritis in a patient with chronic brucellosis

Simella Provatopoulou / Marios Papasotiriou / Evangelos Papachristou / Hariklia Gakiopoulou / Markos Marangos / Dimitrios S. Goumenos

Kidney Research and Clinical Practice, Vol 37, Iss 3, Pp 298-

2018  Volume 303

Abstract: Brucellosis is the most common zoonotic disease in Greece, with an endemic distribution and can affect any organ. Infiltration of the renal parenchyma causes acute and chronic interstitial nephritis with granulomas, whereas renal glomeruli are rarely ... ...

Abstract Brucellosis is the most common zoonotic disease in Greece, with an endemic distribution and can affect any organ. Infiltration of the renal parenchyma causes acute and chronic interstitial nephritis with granulomas, whereas renal glomeruli are rarely affected. The disease has been sporadically reported, and it causes various histopathologic patterns. Herein, we describe the case of a 39-year-old stock breeder with a history of recurrent episodes of bacteremia caused by Brucella melitensis over a period of 3 years. Two months after the last episode of bacteremia, he presented with mild renal insufficiency, nephrotic range proteinuria, and microscopic hematuria. A renal biopsy revealed membranoproliferative glomerulonephritis with a pattern of focal-segmental nodular sclerosis and moderate tubulointerstitial fibrosis. The patient received antimicrobial and corticosteroid therapy with partial remission of the nephrotic syndrome.
Keywords Brucellosis ; Membranoproliferative glomerulonephritis ; Nephrotic syndrome ; Internal medicine ; RC31-1245 ; Specialties of internal medicine ; RC581-951
Subject code 616
Language English
Publishing date 2018-09-01T00:00:00Z
Publisher The Korean Society of Nephrology
Document type Article ; Online
Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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