Papillary necrosis: a late complication of nephropathia epidemica?
In the following we describe a case of nephropathia epidemica, which exhibited, a few years after acute infection, arterial hypertension and multiple papillary necrosis. Papillary necrosis was diagnosed by i.v. pyelography and CT Scan. A complete evaluation of the patient failed to show any other etiology for medullary necrosis. If arterial hypertension has already been reported as a complication of nephropathia epidemica, papillary necrosis is exceptional, but may be explained by the severe vascular troubles engendered by Hantavirus infection in kidney medulla.
Rebibou
J M
JM
Service de Néphrologie et Réanimation Métabolique, Hôpital du Bocage, Dijon, France.
Kiesterman
J P
JP
Cercueil
J P
JP
Tanter
Y
Y
Portier
H
H
Rifle
G
G
Chevet
D
D
D000328:Adult; D006476:Orthohantavirus / Q000276:immunology; D018778:Hantavirus Infections / Q000150:complications* / Q000000981:diagnostic imaging*; D006801:Humans; D007681:Kidney Papillary Necrosis / Q000000981:diagnostic imaging* / Q000209:etiology*; D008297:Male; D014057:Tomography, X-Ray Computed