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Published on: September 5, 2017
Granulomatous interstitial nephritis due to tuberculosis-a rare presentation
Krishnaswamy Sampathkumar1, Yesudas S Sooraj, Amol R Mahaldar
1Department of Nephrology, Meenakshi Mission Hospital and Research Centre, Lake Area, Melur Road, Madurai, Tamil Nadu, India. drksampath@gmail.com
Granulomatous interstitial nephritis (GIN), a rare kidney disease, can be caused by tuberculosis. Early diagnosis and treatment with anti-tuberculous therapy and steroids led to recovery in a young male patient.
Area of Science:
- Nephrology
- Infectious Diseases
- Pathology
Background:
- Granulomatous interstitial nephritis (GIN) is a rare cause of acute kidney injury.
- Renal tuberculosis is an uncommon cause of GIN, often presenting with subtle symptoms.
Observation:
- A young male presented with rapidly progressive renal failure and massive proteinuria.
- Renal biopsy confirmed GIN and detected tuberculous DNA in the kidney tissue.
Findings:
- The patient received anti-tuberculous therapy and corticosteroids.
- Hemodialysis was administered for 11 sessions during treatment.
Implications:
- This case demonstrates an unusual presentation of renal tuberculosis.
- Massive proteinuria and acute renal failure can be key indicators of granulomatous interstitial nephritis due to tuberculosis.
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