title: A man with backache and renal failure.
abstract: Backache, a common symptom, is rarely caused by infection of the lumbar discs. The authors present the case of a 60-year-old man with a Staphylococcus aureus septicemia and associated lumbar discitis in whom a pauci immune crescentic glomerulonephritis and renal failure developed. Treatment with antibiotics and not immunosuppressive agents resulted in improved renal function with a discharge creatinine level of 1.87 mg/dL (165 micromol/L). This case highlights an association of pauci-immune crescentic glomerulonephritis with discitis that responded to antibiotic therapy alone.
authors.affiliation: Department of Renal Medicine, Hull and East Yorkshire Hospitals NHS Trust, Hull Royal Infirmary, Kingston-upon Hull, England.
authors.forename: Robert
authors.initials: R
authors.lastname: Peel
authors.forename: Leslie
authors.initials: L
authors.lastname: Sellars
authors.forename: Ervine D
authors.initials: ED
authors.lastname: Long
authors.forename: Sunil
authors.initials: S
authors.lastname: Bhandari
mesh_terms: D015299:Discitis / Q000097:blood / Q000188:drug therapy / Q000382:microbiology; D005921:Glomerulonephritis / Q000097:blood / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D017116:Low Back Pain / Q000188:drug therapy / Q000209:etiology* / Q000382:microbiology; D008159:Lumbar Vertebrae; D008297:Male; D008875:Middle Aged; D051437:Renal Insufficiency / Q000097:blood / Q000188:drug therapy / Q000209:etiology*; D018805:Sepsis / Q000097:blood / Q000188:drug therapy / Q000382:microbiology; D013203:Staphylococcal Infections / Q000097:blood / Q000188:drug therapy