title: Rare immune-mediated pneumonitis in association with post-streptococcal glomerulonephritis.
abstract: We describe the case of a 48-year-old man with an acute nephritis and respiratory failure. Clinical history, streptococcal antibody titres and renal biopsy led to a diagnosis of post-streptococcal glomerulonephritis. Respiratory investigations excluded pulmonary oedema and infection. We hypothesize that this man had a co-existing post-streptococcal glomerulonephritis and an immune-mediated pneumonitis. This is a very rare association, which was last described in 1982.
authors.affiliation: Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, UK. katewiles@hotmail.com
authors.forename: Kate S
authors.initials: KS
authors.lastname: Wiles
authors.forename: Mihye
authors.initials: M
authors.lastname: Lee
authors.forename: Richard
authors.initials: R
authors.lastname: Brindle
authors.forename: Nicholas J
authors.initials: NJ
authors.lastname: Railton
authors.forename: Robin J
authors.initials: RJ
authors.lastname: Clark
authors.forename: David N
authors.initials: DN
authors.lastname: Poller
authors.forename: Juan C
authors.initials: JC
authors.lastname: Mason
mesh_terms: D005921:Glomerulonephritis / Q000150:complications* / Q000382:microbiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D011014:Pneumonia / Q000276:immunology*; D013290:Streptococcal Infections / Q000150:complications*