A Curious Case of Acute Glomerulonephritis - Staphylococcus vs Lupus: Case Report and Literature Review

Here we report a case of a 65-year-old female, where we encountered acute glomerulonephritis. The patient initially presented with a hemorrhagic blister involving the second through fourth toes with serosanguinous discharge and was on hydralazine for blood pressure control. Differentials included St...

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Bibliographic Details
Published in:Curēus (Palo Alto, CA) CA), 2021-02, Vol.13 (2), p.e13138
Main Authors: Mehmood, Maham A, Gurjar, Hitesh, Sindhu, Tegveer, Haider, Asim, Arshad, Mahnoor
Format: Article
Language:English
Subjects:
Infectious Disease
Rheumatology
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Summary:Here we report a case of a 65-year-old female, where we encountered acute glomerulonephritis. The patient initially presented with a hemorrhagic blister involving the second through fourth toes with serosanguinous discharge and was on hydralazine for blood pressure control. Differentials included Staphylococcus-associated/lupus nephritis/anti-neutrophil cytoplasmic autoantibody (ANCA) vasculitis. Still, detailed history and meticulous clinical approach with supporting labs and imaging helped us to narrow it to Staphylococcus-associated glomerulonephritis, which is rarely encountered in clinical practice and is associated with high mortality. The management of the patient resulted in a positive outcome and she was discharged home.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.13138