Evidence of latent pathogenesis of Propionibacterium acnes infection in a patient with renal sarcoidosis | Zendy

Midori Ishii | Zendy; H. Inoshita | Zendy; Gaku Kusaba | Zendy; Shinji Hagiwara | Zendy; Hitoshi Suzuki | Zendy; Masashi Aizawa | Zendy; Isao Ohsawa | Zendy; Hiroyuki Ohi | Zendy; Yoshinobu Eishi | Zendy; Satoshi Horikoshi | Zendy; Yasuhiko Tomino | Zendy

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Evidence of latent pathogenesis of Propionibacterium acnes infection in a patient with renal sarcoidosis

Author(s) -

Midori Ishii,

H. Inoshita,

Gaku Kusaba,

Shinji Hagiwara,

Hitoshi Suzuki,

Masashi Aizawa,

Isao Ohsawa,

Hiroyuki Ohi,

Yoshinobu Eishi,

Satoshi Horikoshi,

Yasuhiko Tomino

Publication year - 2009

Publication title -

clinical kidney journal

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.033

H-Index - 40

eISSN - 2048-8513

pISSN - 2048-8505

DOI - 10.1093/ndtplus/sfp183

Subject(s) - propionibacterium acnes , medicine , sarcoidosis , pathogenesis , renal biopsy , nephrotic syndrome , pathology , kidney , glomerulonephritis , nephritis , immunology , biopsy , dermatology , acne

A 49-year-old man with pulmonary sarcoidosis was admitted to our hospital because of nephrotic syndrome. Renal biopsy revealed membranous nephropathy and granulomatous interstitial nephritis. DNA and cell membrane constituents of Propionibacterium acnes were detected in the patient’s glomeruli and tubular epithelial cells. Treatment with corticosteroids and an antimicrobial agent resulted in remission of the nephrotic syndrome. This is the second case in which components of P. acnes were found in renal tissue, suggesting latent pathogenesis of P. acnes infection in renal sarcoidosis.

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