Pulmonary tularemia with antineutrophil-cytoplasmic-antibody-negative pauci-immune crescentic glomerulonephritis causing acute kidney injury: a case report and review of the literature
Pulmonary tularemia complicated by acute kidney injury is an uncommon clinical constellation. Biopsy-proven pauci-immune crescentic glomerulonephritis with antineutrophil-cytoplasmic-antibody-negativity in this setting appears to be very rare. Careful differential diagnosis, early recognition of tularemia, and timely initiation of effective antibiotic therapy are critical to achieving favorable outcomes.
Authors
- Matthias Feyrer
- Philipp Koehl (ORCID: https://orcid.org/0009-0003-2321-6154)
- Michael Städt
- Alexander Schuh (ORCID: https://orcid.org/0000-0002-8036-2268)
- Pawlos Ichtiaris
Institutions
- Ostbayerische Technische Hochschule Amberg-Weiden (DE)
- Nuremberg Hospital (DE)
- Klinikum Weiden (DE)
- Bionorica (Germany) (DE)
- Paracelsus Medizinische Privatuniversität (DE)
- Agaplesion Markus Hospital (DE)
- Neurologisches Rehabilitationszentrum Leipzig (DE)
Publication Details
- Journal
- Journal of Medical Case Reports
- Published
- 2025-12-17
- DOI
- https://doi.org/10.1186/s13256-025-05747-5
- Primary Topic
- Bacillus and Francisella bacterial research
- Type
- article
- Field-Weighted Citation Impact
- 0.00