Urinary balantidiasis in a patient with systemic lupus erythematosus and lupus nephritis: a case report.
Prednisolone
Systemic lupus erythematosus
Urinary balantidiasis
Journal
Journal of medical case reports
ISSN: 1752-1947
Titre abrégé: J Med Case Rep
Pays: England
ID NLM: 101293382
Informations de publication
Date de publication:
28 May 2020
28 May 2020
Historique:
received:
18
06
2019
accepted:
28
04
2020
entrez:
29
5
2020
pubmed:
29
5
2020
medline:
9
2
2021
Statut:
epublish
Résumé
Balantidium coli, a parasitic unicellular ciliate, often causes asymptomatic balantidiasis of the colon, but extraintestinal disease may occur rarely in immunosuppressed individuals. Renal balantidiasis associated with systemic lupus erythematosus has not been reported before. We present a case of a 48-year-old Thai woman who presented with nephrotic syndrome due to systemic lupus erythematosus-related nephritis. Initially, few B. coli cysts were found in urine sediment, but these increased substantially following treatment with prednisolone. She made an uneventful recovery with 10 days of oral tetracycline therapy. No B. coli cysts were found in her stool. The route of infection in our patient was unclear but is likely to have been orofecal. Neither her infection nor its treatment caused a deterioration in her renal function.
Sections du résumé
BACKGROUND
BACKGROUND
Balantidium coli, a parasitic unicellular ciliate, often causes asymptomatic balantidiasis of the colon, but extraintestinal disease may occur rarely in immunosuppressed individuals. Renal balantidiasis associated with systemic lupus erythematosus has not been reported before.
CASE PRESENTATION
METHODS
We present a case of a 48-year-old Thai woman who presented with nephrotic syndrome due to systemic lupus erythematosus-related nephritis. Initially, few B. coli cysts were found in urine sediment, but these increased substantially following treatment with prednisolone. She made an uneventful recovery with 10 days of oral tetracycline therapy. No B. coli cysts were found in her stool.
CONCLUSION
CONCLUSIONS
The route of infection in our patient was unclear but is likely to have been orofecal. Neither her infection nor its treatment caused a deterioration in her renal function.
Identifiants
pubmed: 32460876
doi: 10.1186/s13256-020-02389-7
pii: 10.1186/s13256-020-02389-7
pmc: PMC7254769
doi:
Substances chimiques
Anti-Bacterial Agents
0
Tetracycline
F8VB5M810T
Types de publication
Journal Article
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
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