Infection-Induced Kidney Diseases

Narayan Prasad1, Manas Ranjan Patel1

  • 1Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.

Frontiers in Medicine
|December 18, 2018
PubMed

Insights

Infections can cause kidney damage through direct invasion or immune responses, leading to various kidney diseases. Prompt detection and treatment are crucial for managing these infections and preventing severe renal injury.

Area of Science:

  • Nephrology
  • Infectious Diseases
  • Immunology

Background:

  • Kidney diseases stemming from infections pose significant clinical challenges.
  • Microbial infections can directly invade renal tissues or trigger indirect immune-mediated damage, such as post-infectious glomerulonephritis.
  • Clinical presentations range from acute to chronic, influenced by the specific pathogen and infection's characteristics.

Purpose of the Study:

  • To review the diverse mechanisms by which infections impact kidney health.
  • To highlight the clinical manifestations and diagnostic challenges associated with infection-related kidney diseases.
  • To discuss the global factors affecting infection control and the implications of antimicrobial resistance.

Main Methods:

  • Literature review of studies on infection-induced kidney diseases.
  • Analysis of pathogenic mechanisms (direct invasion vs. immune-mediated).
  • Examination of clinical presentations, diagnostic hurdles, and treatment considerations.

Main Results:

  • All classes of microbes (viruses, bacteria, fungi, etc.) are implicated in kidney injury.
  • Factors like poverty and poor healthcare access hinder effective infection control globally.
  • Antimicrobial resistance and the re-emergence of infections complicate disease management and diagnosis.

Conclusions:

  • Infections represent a major cause of kidney disease, necessitating a comprehensive understanding of their pathogenesis.
  • Effective infection control and judicious antimicrobial use are critical to mitigate renal morbidity.
  • Emerging infectious patterns present ongoing diagnostic and therapeutic challenges in nephrology.

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