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Successful treatment of infectious endocarditis-associated glomerulonephritis during active hepatitis C infection: a case report.

Silvia BarbariniAntonio De PascalisVincenzo MontinaroPaolo RiaMaria Caterina CarbonaraEmiliana FerramoscaMarcello Napoli
Published in: BMC nephrology (2022)
HCV infection may be linked to multiple renal manifestations, often immune-complex GN such as cryoglobulinemic membrano-proliferative GN. Renal disease due to IE is usually associated to focal, segmental or diffuse proliferative GN, with prominent endocapillary proliferation. The most common infectious agents are Staphylococcus aureus and Streptococcus species. This case report may be relevant because the renal dysfunction was highly suggestive of a cryoglobulinemic GN on a clinical ground, but the histologic pattern after performing the renal biopsy oriented towards a different cause of the underlying disease, that required a specific antibiotic treatment. The renal biopsy is always required to confirm a clinical suspicious in patients affected by multiple comorbidities.
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