Massive spontaneous perirenal hematoma and accelerated hypertension in a patient with polyarteritis nodosa.
A 43-year-old Albanian man is presented who underwent nephrectomy for a huge right spontaneous perirenal hematoma. The diagnosis of polyarteritis nodosa as the etiology of the hematoma has been made only by histological examination, because of the quick and unforeseeable onset of this complication and the nonspecificity of symptoms. We hypothesize a relationship between reactivation of polyarteritis nodosa and treatment with rifampicin and isoniazid.
Minardi
D
D
Institute of Urology, University of Ancona Medical School, Umberto I Hospital, Piazza Cappelli 1, I-60121 Ancona, Italy. clinuro@popcsi.unian.it
Dessì-Fulgheri
P
P
Sarzani
R
R
Onesta
M
M
Muçaj
A
A
Branchi
A
A
Giangiacomi
M
M
Mantovani
P
P
Muzzonigro
G
G
D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D006406:Hematoma / Q000209:etiology*; D006801:Humans; D006977:Hypertension, Renal / Q000209:etiology*; D007538:Isoniazid / Q000627:therapeutic use; D007668:Kidney / Q000473:pathology; D007674:Kidney Diseases / Q000209:etiology*; D008297:Male; D009165:Mycobacterium Infections, Nontuberculous / Q000188:drug therapy; D009392:Nephrectomy; D010488:Polyarteritis Nodosa / Q000150:complications*; D012293:Rifampin / Q000627:therapeutic use
D000995:Antitubercular Agents; D007538:Isoniazid; D012293:Rifampin