ANCA-Negative Pauci-Immune Glomerulonephritis Associated with Bartonella Endocarditis

Kidney complications can occur due to infective endocarditis, one of which is glomerulonephritis. Most often, an immune complex or complement-mediated glomerulonephritis is seen on kidney biopsy. In a minor subset of cases, pauci-immune glomerulonephritis may be present. Most often, such patients wi...

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Main Authors: Camille Ng, Angela Penney, Rojin Sharaflari, Akash Pathak, John H. Howard III, Kuang-Yu Jen
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Nephrology
Online Access:http://dx.doi.org/10.1155/2024/4181660
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author Camille Ng
Angela Penney
Rojin Sharaflari
Akash Pathak
John H. Howard III
Kuang-Yu Jen
author_facet Camille Ng
Angela Penney
Rojin Sharaflari
Akash Pathak
John H. Howard III
Kuang-Yu Jen
author_sort Camille Ng
collection DOAJ
description Kidney complications can occur due to infective endocarditis, one of which is glomerulonephritis. Most often, an immune complex or complement-mediated glomerulonephritis is seen on kidney biopsy. In a minor subset of cases, pauci-immune glomerulonephritis may be present. Most often, such patients will demonstrate the presence of antineutrophil cytoplasmic antibodies (ANCA) on serologic testing. A growing number of cases of ANCA-associated glomerulonephritis due to Bartonella endocarditis have been reported. This type of endocarditis can present diagnostic difficulties given that these patients are often culture negative. Herein, we report a challenging case of ANCA-negative pauci-immune glomerulonephritis showing florid crescents on biopsy that was associated with Bartonella endocarditis.
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series Case Reports in Nephrology
spelling doaj-art-a068af011c3844c09317c8dd073333682025-02-03T10:56:49ZengWileyCase Reports in Nephrology2090-665X2024-01-01202410.1155/2024/4181660ANCA-Negative Pauci-Immune Glomerulonephritis Associated with Bartonella EndocarditisCamille Ng0Angela Penney1Rojin Sharaflari2Akash Pathak3John H. Howard III4Kuang-Yu Jen5College of MedicineCollege of MedicineCollege of MedicineCollege of MedicineCapital Nephrology Medical GroupDepartment of Pathology and Laboratory MedicineKidney complications can occur due to infective endocarditis, one of which is glomerulonephritis. Most often, an immune complex or complement-mediated glomerulonephritis is seen on kidney biopsy. In a minor subset of cases, pauci-immune glomerulonephritis may be present. Most often, such patients will demonstrate the presence of antineutrophil cytoplasmic antibodies (ANCA) on serologic testing. A growing number of cases of ANCA-associated glomerulonephritis due to Bartonella endocarditis have been reported. This type of endocarditis can present diagnostic difficulties given that these patients are often culture negative. Herein, we report a challenging case of ANCA-negative pauci-immune glomerulonephritis showing florid crescents on biopsy that was associated with Bartonella endocarditis.http://dx.doi.org/10.1155/2024/4181660
spellingShingle Camille Ng
Angela Penney
Rojin Sharaflari
Akash Pathak
John H. Howard III
Kuang-Yu Jen
ANCA-Negative Pauci-Immune Glomerulonephritis Associated with Bartonella Endocarditis
Case Reports in Nephrology
title ANCA-Negative Pauci-Immune Glomerulonephritis Associated with Bartonella Endocarditis
title_full ANCA-Negative Pauci-Immune Glomerulonephritis Associated with Bartonella Endocarditis
title_fullStr ANCA-Negative Pauci-Immune Glomerulonephritis Associated with Bartonella Endocarditis
title_full_unstemmed ANCA-Negative Pauci-Immune Glomerulonephritis Associated with Bartonella Endocarditis
title_short ANCA-Negative Pauci-Immune Glomerulonephritis Associated with Bartonella Endocarditis
title_sort anca negative pauci immune glomerulonephritis associated with bartonella endocarditis
url http://dx.doi.org/10.1155/2024/4181660
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