細菌性膣症に続発し、溶血性貧血および血小板減少症を合併した連鎖球菌感染後急性糸球体腎炎:症例報告

Takafumi Shiga1, Keisuke Onishi1, Hirona Nagano1

  • 1Department of CardioRenal and CerebroVascular Medicine, Faculty of Medicine, Kagawa University, Japan.

PubMed

A群連鎖球菌性膣症と診断された65歳女性が、膿胸のため当院に入院した。膿瘍ドレナージおよび抗菌薬投与を行ったが、血尿、蛋白尿、溶血性貧血、血小板減少および腎機能障害が出現した。保存的治療では腎機能および全身状態の改善は見られなかった。腎生検により、感染後糸球体腎炎(PIGN)であることが確認された。糖質コルチコイド治療により、腎機能および全身所見は改善した。細菌性膣症がPIGNを引き起こすことは稀である。溶血性貧血および血小板減少はPIGNの合併症としてまれであり、その治療には糖質コルチコイドが有効である可能性がある。

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