title: Atypical presentation of anti-GBM nephritis in a 90-year-old patient.
abstract: A 90-year-old woman who had bloody diarrhoea, nausea, weakness and reduced urine output was found to have acute kidney injury. Her inflammatory markers were raised and her chest X-ray suggested an inflammatory process. She was initially suspected to have acute kidney injury secondary to dehydration and sepsis but when her autoimmune screen returned positive for antiglomerular basement membrane antibodies our diagnosis and management strategy was reconsidered. This is a case report of Goodpasture disease presenting in an elderly patient.
authors.affiliation: Department of Medicine, Sligo University Hospital, Sligo, Co. Sligo, Ireland.
authors.forename: Julie Omolola
authors.initials: JO
authors.lastname: Okiro
authors.affiliation: Department of Nephrology, Sligo University Hospital, Sligo, Co. Sligo, Ireland.
authors.forename: Chaudhry Adeel
authors.initials: CA
authors.lastname: Ebad
authors.affiliation: Department of Medicine, Sligo University Hospital, Sligo, Co. Sligo, Ireland.
authors.forename: Amjad Zaman
authors.initials: AZ
authors.lastname: Khan
mesh_terms: D058186:Acute Kidney Injury / Q000175:diagnosis*; D000369:Aged, 80 and over; D000420:Albuterol / Q000627:therapeutic use*; D000900:Anti-Bacterial Agents / Q000008:administration & dosage; D019867:Anti-Glomerular Basement Membrane Disease / Q000175:diagnosis* / Q000503:physiopathology / Q000628:therapy; D001993:Bronchodilator Agents / Q000627:therapeutic use*; D002443:Ceftriaxone / Q000008:administration & dosage; D003967:Diarrhea / Q000209:etiology; D064098:Esomeprazole / Q000008:administration & dosage; D017809:Fatal Outcome; D005260:Female; D006801:Humans; D009325:Nausea / Q000209:etiology; D010166:Palliative Care; D000070659:Patient Comfort; D010951:Plasma Exchange; D054328:Proton Pump Inhibitors / Q000008:administration & dosage
chemical_list: D000900:Anti-Bacterial Agents; D001993:Bronchodilator Agents; D054328:Proton Pump Inhibitors; D002443:Ceftriaxone; D064098:Esomeprazole; D000420:Albuterol