title: Papillary necrosis: a late complication of nephropathia epidemica?
abstract: 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.
authors.affiliation: Service de Néphrologie et Réanimation Métabolique, Hôpital du Bocage, Dijon, France.
authors.forename: J M
authors.initials: JM
authors.lastname: Rebibou
authors.forename: J P
authors.initials: JP
authors.lastname: Kiesterman
authors.forename: J P
authors.initials: JP
authors.lastname: Cercueil
authors.forename: Y
authors.initials: Y
authors.lastname: Tanter
authors.forename: H
authors.initials: H
authors.lastname: Portier
authors.forename: G
authors.initials: G
authors.lastname: Rifle
authors.forename: D
authors.initials: D
authors.lastname: Chevet
mesh_terms: 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