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Updated: Jan 20, 2026

Author Spotlight: Investigating the Potential of Chinese Herbal Medicinal Active Dioscin in Treating IgA Nephropathy
Published on: October 13, 2023
IgA Nephropathy in a Patient with Tularemia: Causality or Coincidental Association?
Yasemin Çakır Kıymaz1, Ertuğrul Keskin1, Şeyhmus Kaya2
1Department of Infectious Diseases and Clinical Microbiology, Sivas Cumhuriyet University School of Medicine, Sivas, Türkiye.
Abstract:
Immunoglobulin A (IgA) nephropathy is the most common primary glomerulonephritis. Oropharyngeal tularemia is a zoonotic infection caused by Francisella tularensis. To the best of our knowledge, no previous report has documented F. tularensis as a potential cause of IgA nephropathy. Here, we describe a case of IgA nephropathy occurring in the context of oropharyngeal tularemia. A 47-year-old man developed dark-colored urine a few days after the onset of upper respiratory symptoms. Kidney biopsy confirmed IgA nephropathy in the setting of acute kidney injury. Treatment with prednisolone and cyclophosphamide, in combination with tularemia-specific therapy, led to clinical improvement. This case highlights a possible association between tularemia and IgA nephropathy, warranting further investigation into the underlying mechanisms.
Graphic Abstract:
Graphic Abstract.
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