title: A Rare Clinical Entity: Staphylococcus-Related Glomerulonephritis.
abstract: Staphylococcus aureus is a rare cause of postinfectious glomerulonephritis, and Staphylococcus-related glo-merulonephritis primarily occurs in middle-aged or elderly patients. Patients with Staphylococcus-related glomerulonephritis also present with hematuria, proteinuria of varying degrees, rising serum creatinine levels, and/or edema. The severity of renal insufficiency is proportional to the degree of proliferation and crescent formation. Here, we present a diabetic patient admitted with a history of 1 week of left elbow pain. Laboratory results revealed that erythrocyte sedimentation rate was 110 mm/hour, serum creatinine level was 1 mg/dL, C-reactive protein level was 150 mg/L, and magnetic resonance imaging showed signal changes in favor of osteomyelitis at the olecranon level, with diffuse edematous appearance in the elbow skin tissue and increased intra-articular effusion. After diagnosis of osteomyelitis, ampicillin/sulbactam and teicoplanin were administered. After day 7 of admission, the patient developed acute kidney injury requiring hemodialysis under antibiotic treatment. Kidney biopsy was performed to determine the underlying cause, which showed Staphylococcus-related glomerulonephritis. Recovery of renal func-tions was observed after antibiotic and supportive treatment.
authors.affiliation: From From the Division of Nephrology, Department of Internal Medicine, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
authors.forename: Numune
authors.initials: N
authors.lastname: Aliyeva
authors.forename: Erol
authors.initials: E
authors.lastname: Demir
authors.forename: Yasar
authors.initials: Y
authors.lastname: Caliskan
authors.forename: Halil
authors.initials: H
authors.lastname: Yazici
authors.forename: Alaattin
authors.initials: A
authors.lastname: Yildiz
mesh_terms: D006801:Humans; D058186:Acute Kidney Injury / Q000628:therapy / Q000382:microbiology / Q000175:diagnosis; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001706:Biopsy; D005921:Glomerulonephritis / Q000382:microbiology / Q000175:diagnosis / Q000628:therapy; D008279:Magnetic Resonance Imaging; D010019:Osteomyelitis / Q000382:microbiology / Q000175:diagnosis / Q000188:drug therapy; D006435:Renal Dialysis; D013203:Staphylococcal Infections / Q000175:diagnosis / Q000382:microbiology / Q000188:drug therapy / Q000150:complications / Q000628:therapy; D013211:Staphylococcus aureus / Q000302:isolation & purification; D016896:Treatment Outcome
chemical_list: D000900:Anti-Bacterial Agents