2014
DOI: 10.4103/0971-4065.127902
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Mesangial proliferative glomerulonephritis with acute tubule interstitial nephritis leading to acute kidney injury in influenza A (H1N1) infection

Abstract: Respiratory complications and renal failure are the leading causes for morbidity and mortality due to influenza (H1N1) virus infection. There has been limited information on histopathology of H1N1 influenza-related acute kidney injury (AKI). We describe AKI with H1N1 infection in a 52-year-old female. Renal biopsy showed mesangial proliferative glomerulonephritis with acute tubule interstitial nephritis. Her condition improved rapidly with oseltamivir, fluid replacement, steroid and dialysis. Our case suggests… Show more

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Cited by 4 publications
(3 citation statements)
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“…Mesangial proliferative glomerulonephritis (MsPGN) is characterized by MC proliferation and various degrees of extracellular matrix (ECM) thickening [ 4 , 5 ]. Immunologically, MsPGN can be an IgA- or non-IgA nephropathy.…”
Section: Introductionmentioning
confidence: 99%
“…Mesangial proliferative glomerulonephritis (MsPGN) is characterized by MC proliferation and various degrees of extracellular matrix (ECM) thickening [ 4 , 5 ]. Immunologically, MsPGN can be an IgA- or non-IgA nephropathy.…”
Section: Introductionmentioning
confidence: 99%
“…Observamos que hubo una evolución positiva de la IRA en ambos casos en concomitancia con el uso de corticoesteroides, los que en el primer caso estuvo motivado por la sospecha de una patología autoinmune pulmonar que posteriormente se descartó y en el segundo caso por el compromiso respiratorio. Es posible que el compromiso glomerulonefrítico con los mecanismos patogénicos ya comentados, haya disminuido con los corticoesteroides administrados 9,10 . Sin embargo, no contamos con un estudio histopatológico renal que hubiese demostrado una condición proclive a mejorar con corticoesteroides, por lo que solo podemos plantear un posible rol beneficioso.…”
Section: Discussionunclassified
“…In most cases, the development of rhabdomyolysis has been reported as an additional risk factor for AKI in these patients [ 135 , 136 ]. In addition, a few cases of glomerulonephritis [ 137 , 138 , 139 ] or thrombotic microangiopathy [ 140 ] have been described. However, none of these have evidenced influenza’s presence in kidney epithelial and/or glomerular cells.…”
Section: Respiratory Virusesmentioning
confidence: 99%