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2014 ; 3
(2
): 195-197
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Staphylococcal empyema secondary to IgA nephropathy
#MMPMID28509200
Köse ?
; Türken M
; Ta?l? F
; Çolak H
; Göl Serin B
CEN Case Rep
2014[Nov]; 3
(2
): 195-197
PMID28509200
show ga
A 27-year-old male patient, applied to the emergency unit with complaints of high
fever, nausea, vomiting, and hematuria. In his physical examination, fever was
38 °C with normal findings in all other systems. The laboratory values were as
follows: urea 58 mg/dL, creatinine 2.4 mg/dL, white blood cell count 15.9K/?L
(PNL: 79 %). In his urine analysis; +1 proteinuria and +3 hematuria were
detected. Kidney biopsy was performed. Kidney biopsy interpreted in favor of IgA
nephropathy. As the patient had tonic-clonic seizures, cranial CT examination was
performed. In the cranial CT, there was a subdural effusion in the anterolateral
area of the right cerebral hemisphere with the left shift in the midline
secondary to the effusion. Empyema fluid, which was drained postoperatively, was
cultured. In the direct examination of the empyema fluid, Gram positive cocci and
abundant amount of PNLs were observed. There was no growth in the culture.
Although the most commonly encountered agents for post-infectious
glomerulonephritis are streptococcus infections, it has been reported that
glomerulonephritis attacks may be rarely observed due to staphylococcus
infections. Proliferative glomerulonephritis cases are rarely encountered
conditions characterized by mesangial IgA accumulations secondary to
staphylococcus infections.