Focal and segmental glomerulonephritis post COVID-19 in a lupus patient

Authors

  • Cristhian A. Vizcarra-Vizcarra Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru
  • Vanessa Chávez-Barrios Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru
  • Melannie Taco-Flores Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru
  • Eduardo Chávez-Velásquez Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru
  • Carmen Asato-Higa Patólogas AS SAC. Lima, Peru
  • Julia Sumire-Umeres Patólogas AS SAC. Lima, Peru

DOI:

https://doi.org/10.15381/anales.v85i2.27248

Keywords:

Glomerulonephritis, Acute Kidney Injury, COVID–19, Systemic Lupus Erythematosus, Electron Microscopy

Abstract

We present the case of a 29-year-old woman, with a diagnosis of chronic kidney disease, systemic lupus erythematosus without lupus nephritis criteria, who developed SARS-COV-2 infection, and had acute kidney injury, requiring dialysis. Renal biopsy showed focal segmental glomerulosclerosis, perihilar variant, and evidence of advanced sclerosis. However, renal function recovered several months later, without immunosuppression, so the glomerular damage and acute kidney injury were considered to be secondary to the COVID-19 infection. Since focal and segmental glomerulosclerosis occurred in patients with COVID-19, but its association was infrequent in patients who also had systemic lupus erythematosus, this case is reported.

Author Biographies

  • Cristhian A. Vizcarra-Vizcarra, Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru

    Médico nefrólogo.

  • Vanessa Chávez-Barrios, Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru

    Médico nefrólogo.

  • Melannie Taco-Flores, Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru

    Médico nefrólogo.

  • Eduardo Chávez-Velásquez, Hospital Regional Honorio Delgado Espinoza. Arequipa, Peru

    Médico nefrólogo.

  • Carmen Asato-Higa, Patólogas AS SAC. Lima, Peru

    Médico anatomo-patólogo.

  • Julia Sumire-Umeres, Patólogas AS SAC. Lima, Peru

    Médico anatomo-patólogo.

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Published

2024-05-13

Issue

Section

Reporte de Casos

How to Cite

1.
Vizcarra-Vizcarra CA, Chávez-Barrios V, Taco-Flores M, Chávez-Velásquez E, Asato-Higa C, Sumire-Umeres J. Focal and segmental glomerulonephritis post COVID-19 in a lupus patient. An Fac med [Internet]. 2024 May 13 [cited 2024 Jun. 26];85(2). Available from: https://revistasinvestigacion.unmsm.edu.pe/index.php/anales/article/view/27248