Uncommon cause of fever in a child with steroid-dependent nephrotic syndrome.
CMV disease
Mycoplasma pneumoniae
fever of unknown origin
mixed opportunistic infection
steroid-dependent nephrotic syndrome
Journal
Clinical nephrology. Case studies
ISSN: 2196-5293
Titre abrégé: Clin Nephrol Case Stud
Pays: Germany
ID NLM: 101638685
Informations de publication
Date de publication:
2020
2020
Historique:
received:
27
11
2019
accepted:
08
04
2020
entrez:
14
7
2020
pubmed:
14
7
2020
medline:
14
7
2020
Statut:
epublish
Résumé
Children with nephrotic syndrome are vulnerable to developing infections due to a state of relative immunodeficiency, malnourishment, and use of immunosuppression. Case characteristics: We herein report the case of a 3-year-old child with steroid-dependent nephrotic syndrome who presented to us with fever of unknown origin. The child was found to have an atypical mixed infection with mycoplasma and cytomegalovirus. The infection completely resolved with appropriate treatment and lowering of immunosuppression. Message: Persistently febrile pediatric patients, especially in the setting of recent immunosuppression and absence of otherwise-identified infectious pathogens, should be screened for atypical mixed infections.
Sections du résumé
BACKGROUND
BACKGROUND
Children with nephrotic syndrome are vulnerable to developing infections due to a state of relative immunodeficiency, malnourishment, and use of immunosuppression. Case characteristics: We herein report the case of a 3-year-old child with steroid-dependent nephrotic syndrome who presented to us with fever of unknown origin.
OBSERVATION
METHODS
The child was found to have an atypical mixed infection with mycoplasma and cytomegalovirus.
OUTCOME
RESULTS
The infection completely resolved with appropriate treatment and lowering of immunosuppression. Message: Persistently febrile pediatric patients, especially in the setting of recent immunosuppression and absence of otherwise-identified infectious pathogens, should be screened for atypical mixed infections.
Identifiants
pubmed: 32656069
doi: 10.5414/CNCS110062
pmc: PMC7344764
doi:
Types de publication
Case Reports
Langues
eng
Pagination
49-52Informations de copyright
© Dustri-Verlag Dr. K. Feistle.
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