Infective endocarditis

出自KMU Wiki

(修訂版本間差異)
跳轉到: 導航, 搜索
在2018年3月14日 (三) 10:01所做的修訂版本 (編輯)
Guhjy (對話 | 貢獻)
(新頁面: *Also called "subacute bacterial endocarditis" *Endocarditis-associated GN occurs in patients who remain untreated for a long time (>10-14 days), have negative blood cultures, or have rig...)
←上一個
當前修訂版本 (2018年3月14日 (三) 10:01) (編輯) (撤銷)
Guhjy (對話 | 貢獻)
(新頁面: *Also called "subacute bacterial endocarditis" *Endocarditis-associated GN occurs in patients who remain untreated for a long time (>10-14 days), have negative blood cultures, or have rig...)
 

當前修訂版本

  • Also called "subacute bacterial endocarditis"
  • Endocarditis-associated GN occurs in patients who remain untreated for a long time (>10-14 days), have negative blood cultures, or have right-sided endocarditis.
  • Anemia, ESR ↑, hematuria, proteinuria, aGN, RPGN (rare), pyuria, renal failure
  • Pathology (focal proliferative GN)
    • Grossly, the kidneys have subcapsular hemorrhages with a "flea-bitten" appearance
    • Focal proliferation around foci of necrosis associated with abundant mesangial, subendothelial, and subepithelial immune deposits of ~IgG, ~IgM, and C3
      • Embolic renal infarction or septic abscess
  • Complement ↓, RA factor, cryoglobulin, circulating immune complex
  • Prognosis
    • Good if resolve after treatment with antibiotics for 4-6 weeks