Glomerulonephritis associated with Coxiella burnetii endocarditis.

Dathan, J. R. E.; Heyworth, Martin F.

doi:10.1136/bmj.1.5954.376

Cited by 22 publications

(6 citation statements)

References 5 publications

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“…Immunecomplex GN also includes GN resulting from infections and autoimmune diseases other than SLE. [5][6][7][8][9][10][11][12][13][14] Indeed, infections are an important cause of immune-complex GN in both developing and developed countries. [15][16][17][18][19][20] The pattern of glomerular injury is variable, and depending, in part, on the etiology, there may be no lesion by LM, mesangial proliferative, endocapillary proliferative, exudative, membranoproliferative, necrotizing and crescentic, sclerosing, or a combination of these patterns.…”

mentioning

confidence: 99%

Mayo Clinic/Renal Pathology Society Consensus Report on Pathologic Classification, Diagnosis, and Reporting of GN

Sethi

Haas

Markowitz

et al. 2015

JASN

226

153

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Renal pathologists and nephrologists met on February 20, 2015 to establish an etiology/pathogenesis-based system for classification and diagnosis of GN, with a major aim of standardizing the kidney biopsy report of GN. On the basis of etiology/pathogenesis, GN is classified into the following five pathogenic types, each with specific disease entities: immune-complex GN, pauci-immune GN, antiglomerular basement membrane GN, monoclonal Ig GN, and C3 glomerulopathy. The pathogenesis-based classification forms the basis of the kidney biopsy report. To standardize the report, the diagnosis consists of a primary diagnosis and a secondary diagnosis. The primary diagnosis should include the disease entity/pathogenic type (if disease entity is not known) followed in order by pattern of injury (mixed patterns may be present); score/grade/class for disease entities, such as IgA nephropathy, lupus nephritis, and ANCA GN; and additional features as detailed herein. A pattern diagnosis as the sole primary diagnosis is not recommended. Secondary diagnoses should be reported separately and include coexisting lesions that do not form the primary diagnosis. Guidelines for the report format, light microscopy, immunofluorescence microscopy, electron microscopy, and ancillary studies are also provided. In summary, this consensus report emphasizes a pathogenesis-based classification of GN and provides guidelines for the standardized reporting of GN.

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mentioning

confidence: 99%

Mayo Clinic/Renal Pathology Society Consensus Report on Pathologic Classification, Diagnosis, and Reporting of GN

Sethi

Haas

Markowitz

et al. 2015

JASN

226

153

View full text Add to dashboard Cite

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“…The immunofluorescence findings in the other cases were not reported. The case reported by Dathan & Heyworth (1975) is difficult to interpret, as the patient was also hepatitis B antigen positive, and Australian antigenaemia is known to be associated with glomerular disease.…”

Section: Discussionmentioning

confidence: 93%

Mesangio‐capillary glomerulonephritis associated with Q‐fever endocarditis

Uff

Evans

1977

Histopathology

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A patient with nephrotic syndrome and Q-fever endocarditis (confirmed serologically and ultrastructurally) was found to have mesangio-capillary glomerulonephritis with parietal deposits of C3 and IgM and some IgM in the mesangium. Elution studies showed that IgM antibodies reactive against insoluble Coxiella antigens were present in the kidney. Review of the literature suggests that this type of immune complex nephritis may be associated with Q-fever. Possible reasons for the variability of the nephritis associated with infective endocarditis are discussed.

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“…Kidney diseases associated with Q fever endocarditis are glomerular injuries. The histologic lesions include dif fuse proliferative glomerulonephritis [7,8], focal-segmen tal glomerulonephritis [6,10], and mesangiocapillary glo merulonephritis [9], The extent of initial glomerular inju ries determines the kidney prognosis. Our patient shows the insidious progression of Q fever endocarditis revealed by glomerulonephritis.…”

Section: Discussionmentioning

confidence: 99%

“…Acute forms are asso ciated with pneumonia, hepatitis, and meningoencephali tis. Chronic forms, which are arbitrarily defined as a course longer than 3 months, are associated with endocar ditis [1], hepatitis [2], osteomyelitis [3], vascular prosthe sis infection [4], and pulmonary disease [5], Endocarditis, the most frequently reported entity, can be associated with glomerulonephritis [6][7][8][9][10] and cryoglobulinemia [11,12], We describe an uncommon case of C. burnetii endocarditis associated with cryoglobulinemia, as re vealed by focal and segmental proliferative glomerulone phritis.…”

Section: Introductionmentioning

confidence: 99%

Prolif erative Glomerulonephritis Revealing Chronic Q Fever

Vacher-Coponat

Dussol²,

Raoult³

et al. 1996

Am J Nephrol

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We describe the case of a 69-year-old male with a year-long history of renal failure. Investigation revealed proliferative glomerulonephritis, cryoglobulinemia, and Q fever endocarditis. Renal tissue examination for the presence of Coxiella burnetii was positive. The patient was treated by doxycycline and chloroquine; his clinical status, renal failure, and chronic Q fever have dramatically improved.

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Glomerulonephritis associated with Coxiella burnetii endocarditis.

Cited by 22 publications

References 5 publications

Mayo Clinic/Renal Pathology Society Consensus Report on Pathologic Classification, Diagnosis, and Reporting of GN

Mayo Clinic/Renal Pathology Society Consensus Report on Pathologic Classification, Diagnosis, and Reporting of GN

Mesangio‐capillary glomerulonephritis associated with Q‐fever endocarditis

Prolif erative Glomerulonephritis Revealing Chronic Q Fever

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