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Acute postinfectious glomerulonephritis associated with scabies in the elderly: A case report

Wang, Di, Li, Li, Wei, Lei, Liu, Yingying, Sun, Shiren
Parasitology international 2017 v.66 no.6 pp. 802-805
asthma, bacterial infections, biopsy, case studies, disease course, early diagnosis, elderly, glomerulonephritis, hematuria, histopathology, hypertension, males, patients, physicians, proteinuria, risk, scabies
Acute postinfectious glomerulonephritis (GN) secondary to scabies were mainly documented as early as in 1980s, and in all these published cases no histopathological evidence of renal biopsy were reported regarding scabies and renal damage. The delay in scabies treatment can result in a greater risk of secondary bacterial infections that can become invasive and/or lead to severe post-infective complications such as post-streptococcal glomerulonephritis. In diagnostic procedures, the clinical presentation of scabies is often atypical especially in elderly people patients. However, early diagnosis is necessary to prevent disease progression. Here, we present a case of acute glomerulonephritis caused by scabies in a 79-year-old male patient who presented with papular rash, asthma, haematuria, proteinuria, hypertension and variable azotaemia. The aim is to provide more details of the clinical features and the histopathologic characteristics, and to increase the vigilance among physicians in patients with acute GN.