title: An unusual cause of membranous glomerulonephritis in a patient with HIV.
abstract: A 68-year old Caucasian male with a past medical history of human immunodeficiency virus (HIV) infection presented with acute oliguric renal failure and maculopapular rash. Renal biopsy demonstrated extensive foot process effacement as well as confluent small subepithelial electron-dense deposits, which is diagnostic of membranous glomerulonephritis. Subsequent serological tests showed venereal disease research laboratory test was positive in both serum and cerebral spinal fluid. Following penicillin treatment, the patient's creatinine returned to baseline 4 weeks later. Secondary membranous glomerulonephritis caused by syphilis in patients with HIV is discussed.
authors: Renal Division, Washington University School of Medicine, 8126, 660 S. Euclid Ave., St. Louis, MO 63110, USA.
authors: Ying Maggie
authors: YM
authors: Chen
authors: Luis A
authors: LA
authors: Marcos
authors: Helen
authors: H
authors: Liapis
authors: Thomas H
authors: TH
authors: Steinberg
authors: Aubrey R
authors: AR
authors: Morrison
mesh_terms: D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015433:Glomerulonephritis, Membranous / Q000382:microbiology*; D015658:HIV Infections / Q000150:complications*; D006801:Humans; D008297:Male; D009494:Neurosyphilis / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D010400:Penicillin G / Q000627:therapeutic use; D014210:Treponema pallidum
chemical_list: D000900:Anti-Bacterial Agents; D010400:Penicillin G