Exploring the relationship of supernumerary recurrent renal calculi formation and tick-borne infections: a case report

A 51-year-old male with a history of Cacchi-Ricci disease and long-standing infection with various species of presented with recurrent symptoms of right-sided flank pain. Numerous renal calculi were identified on imaging. The etiology of the calculi had not been previously elucidated. Symptoms inter...

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Bibliographic Details
Published in:Frontiers in cellular and infection microbiology 2024, Vol.14, p.1194307-1194307
Main Authors: Paz, Dean C, Gunther, Abigael C, Higham, Michael C, Stephenson, Lynne G, Laporta, Anthony J, Gubler, K Dean, Ryznar, Rebecca J
Format: Article
Language:English
Subjects:
Bartonella
Cacchi-Ricci disease
medullary sponge kidney
nephrolithiasis
renal calculi
tick-borne infections
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Summary:A 51-year-old male with a history of Cacchi-Ricci disease and long-standing infection with various species of presented with recurrent symptoms of right-sided flank pain. Numerous renal calculi were identified on imaging. The etiology of the calculi had not been previously elucidated. Symptoms intermittently date back to 2002 when uric acid stones were identified. Subsequent calculi analysis revealed calcium oxalate stones. Despite the commonality of nephrolithiasis in patients with Cacchi-Ricci disease, the extreme number of calculi and recurrent presentation of symptoms persisted despite a plethora of medical evaluations, dietary changes, and hereditary testing. This case raises questions of etiology including possible immune deficiency and whether his uncommon microbial history contributes to recurrent stone formation.
ISSN:2235-2988
2235-2988
DOI:10.3389/fcimb.2024.1194307