Pneumocystis carinii pneumonia occurred in the patient with ANCA-associated glomerulonephritis: a case report

Abstract

A 71-year-old female who had undergone a Miles procedure for rectal cancer on 26 July 2004 was admitted to our hospital on 8 September with renal failure and elevation of CRP. She was diagnosed with ANCA-associated glomerulonephritis and treated with steroids. She was discharged on 31 October, but was readmitted on 11 November with an elevation of LDH and CRP. Pneumocystis carinii pneumonia was diagnosed by bronchoalveolar lavage, and she recovered after administration of sulfamethoxazole-trimethoprim. Pneumocystis carinii pneumonia is a life-threatening disease, which in this case was successfully treated with a combination of steroids.