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심내막염에 동반한 반월상 사구체신염에서 항생제만으로 치료된 1예

Other Titles
 Recovery from crescentic glomerulonephritis with bacterial endocarditis with antibiotics alone 
Authors
 김진경  ;  이영기  ;  오숙의  ;  조정래  ;  노정우  ;  남은숙  ;  이상학 
Citation
 Korean Journal of Medicine, Vol.76(3) : 358-364, 2009 
Journal Title
 Korean Journal of Medicine 
ISSN
 1738-9364 
Issue Date
2009
Keywords
Endocarditis ; Glomerulonephritis ; Antibiotics
Abstract
A 59-year-old woman presented to our hospital with fever, petechiae, pyuria, gross hematuria, and rapidly progressive glomerulonephritis (GN). She had a history of urinary tract infection. A renal biopsy specimen revealed crescentic GN and an echocardiogram showed a vegetation 3.15?.73 cm in size on the mitral valve and severe mitral valve regurgitation. Blood cultures grew Enterococcus faecalis. Treatment with antibiotics alone resulted in clinical improvement of the renal function and resolution of the fever. Three months after hospitalization, the echocardiogram showed mild mitral valve regurgitation. This case suggests that crescentic glomerulonephritis associated with even a huge vegetation of infectious endocarditis can be treated with antibiotics alone and result in stable renal function
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Lee, Sang Hak(이상학) ORCID logo https://orcid.org/0000-0002-4535-3745
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/103687
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