Acute Respiratory Distress Syndrome in A 32-Year-Old Man with Newly Diagnosed Wegener’s Granulomatosis C-ANCA Positive Pauci Immune Crescentic Glomerulonephritis with Leucopenia Treated Successfully: A Rare Case Report
A 32-year-old man presented with myalgia, polyarthritis, hearing problem, sneezing, erythematous rash, episcleritis for one month. As serum creatinine was high, renal biopsy was done; it was compatible with pauci immune glomerulonephritis. Blood c-ANCA was positive; and, both anti-glomerular basement membrane antibody and p-ANCA were negative. Therefore, he was diagnosed as a case of Wegener’s Granulomatosis with rapidly progressive glomerulonephritis, and treated with corticosteroids, cyclophosphamide and rituximab. Hemodialysis was initiated shortly after immunosuppressive treatment as serum creatinine was rising. He developed dyspnea and low SaO2 due to acute respiratory distress syndrome (ARDS). Total WBC count was low (2.1X109 /L). He was successfully treated with continuous positive airway pressure (CPAP).
Authors
- Aung Htoo Kyaw
- Chann Myei (ORCID: https://orcid.org/0000-0003-3761-894X)
- Khin Phyu Pyar
- Myo Thant Kyaw
- Sein Kyaw
- Thurein Win (ORCID: https://orcid.org/0000-0002-8850-2325)
- Aung Myint Thu (ORCID: https://orcid.org/0000-0003-1056-745X)
- Kyaw Thet Maung
- Aung Kyaw Myo (ORCID: https://orcid.org/0000-0003-4622-0634)
- Nyan Lin Maung (ORCID: https://orcid.org/0000-0001-5366-145X)
- Than Naing Lin
- Thein Tun Myint
- Zaw Min Tun
- Zay Phyo Aung
- Aung Phyoe Kyaw
- Zar Ni Htet Aung (ORCID: https://orcid.org/0000-0001-8818-3873)
- Tin Sein
- Anne M Lynn (ORCID: https://orcid.org/0000-0002-4006-117X)
- Soe Moe Htun
- Sit Min
- Soe Min Aung
- Aung Htet (ORCID: https://orcid.org/0000-0002-2334-9112)
- Aung Phyo Latt
- Ohmar Hlaing
- Han Lin Aung
- Soe Win Hlaing
- Saw Thar Wah
- Myat Ko Ko
- Naing Shin Htet
- Soe Ko Ko Oo
- Win Min Htun
- Zaw Min Htwe
- Aung Aung (ORCID: https://orcid.org/0000-0003-1793-0119)
Institutions
- National Defence Academy (IN)
- Military Hospital (PK)
- Ministry of Defence (NL)
- National Defence Medical Centre (CA)
- Associated Radiologists (US)
Publication Details
- Journal
- International Journal of Medical Science and Clinical Research Studies
- Published
- 2024-12-23
- DOI
- https://doi.org/10.47191/ijmscrs/v4-i12-57
- Primary Topic
- Vasculitis and related conditions
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Ministry of Earth Sciences
- Ministry of Education, India