case 42 - singapore general hospital...case 42 46 year old male with recent fever and coryza 3 weeks...

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Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR 10 g/g, C3 low, C4 normal. ANA, anti- dsDNA, ANCA-EIA negative. ASOT strongly positive >1/1600.

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Page 1: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR

Case 42

46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells

172 per hpf, UPCR 10 g/g, C3 low, C4 normal. ANA, anti-dsDNA, ANCA-EIA negative. ASOT strongly positive >1/1600.

Page 2: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR
Page 3: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR
Page 4: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR
Page 5: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR
Page 6: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR

IgA

Page 7: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR

IgA

Page 8: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR

IgA

Page 9: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR

IgM

Page 10: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR

C3

Page 11: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR
Page 12: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR
Page 13: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR
Page 14: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR
Page 15: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR
Page 16: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR
Page 17: Case 42 - Singapore General Hospital...Case 42 46 year old male with recent fever and coryza 3 weeks ago now presents with acute kidney injury. Urine red blood cells 172 per hpf, UPCR