Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Acute Post-streptococcal Glomerulonephritis with Acute Kidney Injury in Nephrotic Syndrome with the Glomerular Deposition of Nephritis-associated Plasmin Receptor Antigen
Ayako KokuzawaYoshiyuki MorishitaHiromichi YoshizawaKana IwazuTakanori KomadaTetsu AkimotoOsamu SaitoTakashi OdaFumi TakemotoYasuhiro AndoShigeaki MutoWako YumuraEiji Kusano
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JOURNALS OPEN ACCESS

2013 Volume 52 Issue 18 Pages 2087-2091

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Abstract

We herein report the case of a 17-year-old man who developed an increased plasma creatinine level (11.1 mg/dL) and oliguria with massive proteinuria (27.3 g/day) four weeks after an abraded wound to his right knee. The histology of the renal biopsy specimens showed diffuse endocapillary proliferative glomerulonephritis with the deposition of nephritis-associated plasmin receptor in the glomerulus. A case of acute kidney injury due to nephrotic syndrome caused by acute post-streptococcal glomerulonephritis was diagnosed. His renal function and proteinuria were improved with supportive care, including hemodialysis, without the administration of immunosuppressive agents.

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© 2013 by The Japanese Society of Internal Medicine
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