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Membranoproliferative glomerulonephritis: A rare presentation of occult filariasis
Parvati Joshi1, Saurabh Nayak2, Mudalsha Ravina3
1Senior Resident, Department of Pathology, All India Institute of Medical Sciences (AIIMS), Raipur, Chhattisgarh, India.
Abstract:
Parasitic infections do not usually present with rapidly progressive renal failure but can provoke glomerular lesions which are mostly proliferative. In filarial infection, glomerular involvement is usually mild and transient, and presentation with renal failure is rare. We report occult filariasis presenting as rapidly progressive renal failure due to immune-complex mediated membranoproliferative glomerulonephritis. Our patient responded to treatment with diethylcarbamazine and a short course of steroid. This case highlights the importance of thorough workup to identify the cause and consideration of filariasis in an endemic area.
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