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Infection-Induced Kidney Diseases
Narayan Prasad1, Manas Ranjan Patel1
1Department of Nephrology and Renal Transplantation, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
Abstract:
Infection induced kidney diseases are of concern for clinicians because timely detection and treatment of infections may cure or limit the extent of injury inflicted by microorganisms causing the infections. Infections can cause kidney injury by either direct invasion, or indirectly by immune mediated mechanisms, which manifest as post-infectious glomerulonephritis, or infection-related glomerulonephritis. Clinical manifestations may be acute or chronic depending on the microorganisms, endemic/epidemic nature and source of infection. All microbials virus, bacteria, mycobacteria, fungus, and protozoa have been implicated in kidney diseases either causing direct kidney injuries or immune-mediated injuries. Infection control practices in large parts of world is limited by poverty, social behavior, high population density, deforestation, inadequate access to safe drinking water, and poor health care facilities. Although, antimicrobials and vaccinations have successfully eradicated and cured many infectious diseases; however injudicious antimicrobial use and emergence of resistant organisms complicated the disease severity like secondary renal amyloidosis with chronic persistent infection. Re-emergence of various infections has been a recent pattern in developed world leading to uncertain diagnostic challenges, and association with kidney diseases.
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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