Pneumonia – the silent renal killer
A 48-year-old woman presented with intermittent fever, dyspnea, hand and limb swelling, and purplish plantar spots. Initially diagnosed with pneumonia, she was later found to have mixed connective tissue disease and interstitial lung disease. She required oxygen support, had stable vitals, and exhib...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Malaysian Society Of Nephrology
2024
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| Online Access: | http://psasir.upm.edu.my/id/eprint/119073/ http://psasir.upm.edu.my/id/eprint/119073/1/119073.pdf |
| _version_ | 1848867865651838976 |
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| author | Aravan, Logaruban Lim, Christopher Thiam Seong Abd Ghani, Fauzah Mohamad, Haidi |
| author_facet | Aravan, Logaruban Lim, Christopher Thiam Seong Abd Ghani, Fauzah Mohamad, Haidi |
| author_sort | Aravan, Logaruban |
| building | UPM Institutional Repository |
| collection | Online Access |
| description | A 48-year-old woman presented with intermittent fever, dyspnea, hand and limb swelling, and purplish plantar spots. Initially diagnosed with pneumonia, she was later found to have mixed connective tissue disease and interstitial lung disease. She required oxygen support, had stable vitals, and exhibited lung crepitations and bilateral pedal edema. Patient had elevated white blood cells, platelets, CRP, creatinine, positive c- Antineutrophil Cytoplasmic Antibody (Anca) and significant proteinuria and hematuria. Initial impression was mixed connective tissue disease with pre renal Acute Kidney Injury (AKI) with differentials of sepsis induced AKI , Anca related Glomerulonephritis (GN) or Infection related GN. Renal biopsy shows a diffuse sclerosing pattern changes with granulomatous nephritis. Negative Immunofluorescence (IF) study concluded sclerosing and granulomatous form of ANCA related pauci-immune glomerulonephritis. |
| first_indexed | 2025-11-15T14:43:17Z |
| format | Article |
| id | upm-119073 |
| institution | Universiti Putra Malaysia |
| institution_category | Local University |
| language | English |
| last_indexed | 2025-11-15T14:43:17Z |
| publishDate | 2024 |
| publisher | Malaysian Society Of Nephrology |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | upm-1190732025-08-06T02:24:58Z http://psasir.upm.edu.my/id/eprint/119073/ Pneumonia – the silent renal killer Aravan, Logaruban Lim, Christopher Thiam Seong Abd Ghani, Fauzah Mohamad, Haidi A 48-year-old woman presented with intermittent fever, dyspnea, hand and limb swelling, and purplish plantar spots. Initially diagnosed with pneumonia, she was later found to have mixed connective tissue disease and interstitial lung disease. She required oxygen support, had stable vitals, and exhibited lung crepitations and bilateral pedal edema. Patient had elevated white blood cells, platelets, CRP, creatinine, positive c- Antineutrophil Cytoplasmic Antibody (Anca) and significant proteinuria and hematuria. Initial impression was mixed connective tissue disease with pre renal Acute Kidney Injury (AKI) with differentials of sepsis induced AKI , Anca related Glomerulonephritis (GN) or Infection related GN. Renal biopsy shows a diffuse sclerosing pattern changes with granulomatous nephritis. Negative Immunofluorescence (IF) study concluded sclerosing and granulomatous form of ANCA related pauci-immune glomerulonephritis. Malaysian Society Of Nephrology 2024-09-01 Article PeerReviewed text en cc_by_4 http://psasir.upm.edu.my/id/eprint/119073/1/119073.pdf Aravan, Logaruban and Lim, Christopher Thiam Seong and Abd Ghani, Fauzah and Mohamad, Haidi (2024) Pneumonia – the silent renal killer. Journal of Clinical and Translational Nephrology, 3 (4). pp. 1-2. ISSN 2710-5903 https://jctn.msn.org.my/index.php/ejournal/article/view/79 |
| spellingShingle | Aravan, Logaruban Lim, Christopher Thiam Seong Abd Ghani, Fauzah Mohamad, Haidi Pneumonia – the silent renal killer |
| title | Pneumonia – the silent renal killer |
| title_full | Pneumonia – the silent renal killer |
| title_fullStr | Pneumonia – the silent renal killer |
| title_full_unstemmed | Pneumonia – the silent renal killer |
| title_short | Pneumonia – the silent renal killer |
| title_sort | pneumonia – the silent renal killer |
| url | http://psasir.upm.edu.my/id/eprint/119073/ http://psasir.upm.edu.my/id/eprint/119073/ http://psasir.upm.edu.my/id/eprint/119073/1/119073.pdf |