General Nephrology

October 2007

Case Presentation

Respiratory hyperinfection with Strongyloides stercoralis in a patient with renal failure

 A 40-year-old female presented to hospital with rapidly progressive renal failure secondary to antineutrophil cytoplasmic antibody (ANCA)-positive crescentic glomerulonephritis. She was started on immunosuppressive therapy (oral steroids and oral cyclophosphamide) and hemodialysis. She re-presented with persistent fever, persistent vomiting and dry cough 135 days after starting immunosuppression. A chest X-ray revealed left lower zone consolidation. Repeated sputum Gram stains were negative, and both sputum and blood cultures were sterile. A sputum smear was negative for acid-fast bacilli. The patient's fever did not respond to empirical antibiotics or antitubercular therapy. Bronchoscopic alveolar lavage and stool examination revealed larval forms of Strongyloides stercoralis.

01 October 2007

Collection

Educational Review Manual in Nephrology

This activity is designed for fellows currently participating in accredited fellowship programs in Nephrology.  Jointly Sponsored by the Dannemiller Memorial Educational Foundation and Professional Publishing Group, Ltd.  This educational review manual is made possible by an unrestricted educational grant from Ortho Biotech, Inc.

10 October 2007

Review

A breakthrough in diabetic nephropathy: the role of endothelial dysfunction

Nephrology Dialysis Transplantation 2007 22(10):2775-2777, October 2007

Takahiko Nakagawa, Mark Segal, Byron Croker and Richard J. Johnson

Treatment of IgA Nephropathy in Adults

Nephrology Rounds, October 2007, Volume 5, Issue 8, October 2007

STEPHEN I-HONG HSU, MD, PHD

Therapy Insight: what nephrologists need to know about primary vesicoureteral reflux

Nature Clinical Practice Nephrology (2007) 3, 551-563, October 2007

Patricio C Gargollo and David A Diamond

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