TY -的A2 Supinski杰拉尔德·s . AU - Chukwurah维维安o . AU - Takang安慰盟,Uche Chinelo AU -托马斯,David b . AU - El Masry Waguih盟——Toka哈坎r . PY - 2020 DA - 2020/08/12 TI -嗜酸乳杆菌心内膜炎复杂化Pauci-Immune坏死性肾小球肾炎SP - 1607141六世- 2020 AB -感染性心内膜炎(IE)患者更常见诱发心脏病变,有许多潜在的并发症,包括中风和动脉有。肾脏表现的可能性估计∼20%。快速进行性肾小球肾炎(展)是一个nephrological紧急通过谷肾功能丧失严重在一个相对短的时间内。在这里,我们报告一位60岁的白人男性,他面对语言障碍和被发现有多个栓塞性中风引起的主动脉瓣。他的肾功能下降迅速,和尿液沉积物出现血尿和蛋白尿。ANCA消极效价是免疫荧光(如果);然而,PR3抗体升高。肾活检显示肿物pauci-immune坏死性肾小球肾炎存在∼25%细胞新月。他最初接受血浆置换法和脉冲剂量类固醇。血液透析是尿毒症症状。 After four weeks of antibiotic therapy and with blood cultures remaining negative, he was treated with rituximab. Two months after discharge, his renal function showed improvement, and hemodialysis was discontinued. This case highlights several complications associated with lactobacillus endocarditis including RPGN. SN - 1687-9627 UR - https://doi.org/10.1155/2020/1607141 DO - 10.1155/2020/1607141 JF - Case Reports in Medicine PB - Hindawi KW - ER -