Huang Y, Xia L, Shen W, Fu T. A case report: Infection-related glomerulonephritis and mantle cell lymphoma due to mycobacterium avium complex infection.
Medicine (Baltimore) 2023;
102:e35620. [PMID:
38206690 PMCID:
PMC10754588 DOI:
10.1097/md.0000000000035620]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2023] [Accepted: 09/20/2023] [Indexed: 01/13/2024] Open
Abstract
RATIONALE
Mycobacterium avium complex (MAC) infection is common in lung, liver and skin. However, MAC presenting with peritonitis is uncommon and is particularly rare in immunocompetent patients. We report a case of infection-associated glomerulonephritis and mantle cell lymphoma caused by peritonitis due to MAC.
PATIENT CONCERNS
We report a case of a 73-year-old elderly man with fever and abdominal pain for 2 days and gradually developed anuria, ascites, and abdominal lymphadenopathy.
DIAGNOSES
The initial diagnosis was peritonitis and acute renal failure. There was no significant relief of symptoms after empirical anti-infective therapy and hemodialysis. infection-associated glomerulonephritis, mantle cell lymphoma, and peritonitis due to MAC were diagnosed by renal biopsy, abdominal lymph node biopsy, and metagenomics next-generation sequencing.
INTERVENTIONS
The patient received empirical antibiotic therapy, hemodialysis, and anti-MAC therapy.
OUTCOMES
Unfortunately, the patient eventually died of septic shock after the 21st day of admissiom.
LESSONS
Early diagnosis of MAC infection is essential. When the cause of fever is unknown, metagenomics next-generation sequencing can be considered.
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