A Case Report of a Middle East Respiratory Syndrome Survivor with Kidney Biopsy Results
Identifieur interne : 001415 ( Main/Exploration ); précédent : 001414; suivant : 001416A Case Report of a Middle East Respiratory Syndrome Survivor with Kidney Biopsy Results
Auteurs : Ran-Hui Cha [Corée du Sud] ; Seung Hee Yang [Corée du Sud] ; Kyung Chul Moon [Corée du Sud] ; Joon-Sung Joh [Corée du Sud] ; Ji Yeon Lee [Corée du Sud] ; Hyoung-Shik Shin [Corée du Sud] ; Dong Ki Kim [Corée du Sud] ; Yon Su Kim [Corée du Sud]Source :
- Journal of Korean Medical Science [ 1011-8934 ] ; 2016.
Descripteurs français
- KwdFr :
- ARN viral (génétique), ARN viral (métabolisme), Biopsie, Coronavirus du syndrome respiratoire du Moyen-Orient (génétique), Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification), Créatinine (sang), Créatinine (urine), Dipeptidyl peptidase 4 (métabolisme), Humains, Infections à coronavirus (diagnostic), Infections à coronavirus (virologie), Microscopie confocale, Microscopie électronique, Mâle, RT-PCR, Rein (anatomopathologie), Rein (métabolisme), Sujet âgé, Sérumalbumine (analyse), Technique FISH.
- MESH :
- analyse : Sérumalbumine.
- anatomopathologie : Rein.
- diagnostic : Infections à coronavirus.
- génétique : ARN viral, Coronavirus du syndrome respiratoire du Moyen-Orient.
- isolement et purification : Coronavirus du syndrome respiratoire du Moyen-Orient.
- métabolisme : ARN viral, Dipeptidyl peptidase 4, Rein.
- sang : Créatinine.
- virologie : Infections à coronavirus.
- urine : Biopsie, Créatinine, Humains, Microscopie confocale, Microscopie électronique, Mâle, RT-PCR, Sujet âgé, Technique FISH.
English descriptors
- KwdEn :
- Aged, Biopsy, Coronavirus Infections (diagnosis), Coronavirus Infections (virology), Creatinine (blood), Creatinine (urine), Dipeptidyl Peptidase 4 (metabolism), Humans, In Situ Hybridization, Fluorescence, Kidney (metabolism), Kidney (pathology), Male, Microscopy, Confocal, Microscopy, Electron, Middle East Respiratory Syndrome Coronavirus (genetics), Middle East Respiratory Syndrome Coronavirus (isolation & purification), RNA, Viral (genetics), RNA, Viral (metabolism), Reverse Transcriptase Polymerase Chain Reaction, Serum Albumin (analysis).
- MESH :
- chemical , analysis : Serum Albumin.
- chemical , blood : Creatinine.
- diagnosis : Coronavirus Infections.
- genetics : Middle East Respiratory Syndrome Coronavirus, RNA, Viral.
- isolation & purification : Middle East Respiratory Syndrome Coronavirus.
- chemical , metabolism : Dipeptidyl Peptidase 4, Kidney, RNA, Viral.
- pathology : Kidney.
- chemical , urine : Creatinine.
- virology : Coronavirus Infections.
- Aged, Biopsy, Humans, In Situ Hybridization, Fluorescence, Male, Microscopy, Confocal, Microscopy, Electron, Reverse Transcriptase Polymerase Chain Reaction.
Abstract
A 68-year old man diagnosed with Middle East Respiratory Syndrome-Coronavirus (MERS-CoV) presented with multiple pneumonic infiltrations on his chest X-ray, and the patient was placed on a mechanical ventilator because of progressive respiratory failure. Urinary protein excretion steadily increased for a microalbumin to creatinine ratio of 538.4 mg/g Cr and a protein to creatinine ratio of 3,025.8 mg/g Cr. The isotope dilution mass spectrometry traceable serum creatinine level increased to 3.0 mg/dL. We performed a kidney biopsy 8 weeks after the onset of symptoms. Acute tubular necrosis was the main finding, and proteinaceous cast formation and acute tubulointerstitial nephritis were found. There were no electron dense deposits observed with electron microscopy. We could not verify the virus itself by in situ hybridization and confocal microscopy (MERS-CoV co-stained with dipeptidyl peptidase 4). The viremic status, urinary virus excretion, and timely kidney biopsy results should be investigated with thorough precautions to reveal the direct effects of MERS-CoV with respect to renal complications.
Url:
DOI: 10.3346/jkms.2016.31.4.635
PubMed: 27051251
PubMed Central: 4810350
Affiliations:
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Le document en format XML
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Survivor with Kidney Biopsy Results</title><author><name sortKey="Cha, Ran Hui" sort="Cha, Ran Hui" uniqKey="Cha R" first="Ran-Hui" last="Cha">Ran-Hui Cha</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Internal Medicine, National Medical Center, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Yang, Seung Hee" sort="Yang, Seung Hee" uniqKey="Yang S" first="Seung Hee" last="Yang">Seung Hee Yang</name><affiliation wicri:level="1"><nlm:aff id="aff2">Kidney Research Institute, Medical Research Center, Seoul National University College of Medicine, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Moon, Kyung Chul" sort="Moon, Kyung Chul" uniqKey="Moon K" first="Kyung Chul" last="Moon">Kyung Chul Moon</name><affiliation wicri:level="1"><nlm:aff id="aff2">Kidney Research Institute, Medical Research Center, Seoul National University College of Medicine, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff3">Department of Pathology, Seoul National University College of Medicine, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Joh, Joon Sung" sort="Joh, Joon Sung" uniqKey="Joh J" first="Joon-Sung" last="Joh">Joon-Sung Joh</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Internal Medicine, National Medical Center, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Ji Yeon" sort="Lee, Ji Yeon" uniqKey="Lee J" first="Ji Yeon" last="Lee">Ji Yeon Lee</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Internal Medicine, National Medical Center, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Shin, Hyoung Shik" sort="Shin, Hyoung Shik" uniqKey="Shin H" first="Hyoung-Shik" last="Shin">Hyoung-Shik Shin</name><affiliation wicri:level="1"><nlm:aff id="aff1">Department of Internal Medicine, National Medical Center, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Dong Ki" sort="Kim, Dong Ki" uniqKey="Kim D" first="Dong Ki" last="Kim">Dong Ki Kim</name><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Internal Medicine, Seoul National University College of Medicine, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Yon Su" sort="Kim, Yon Su" uniqKey="Kim Y" first="Yon Su" last="Kim">Yon Su Kim</name><affiliation wicri:level="1"><nlm:aff id="aff2">Kidney Research Institute, Medical Research Center, Seoul National University College of Medicine, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation><affiliation wicri:level="1"><nlm:aff id="aff4">Department of Internal Medicine, Seoul National University College of Medicine, Seoul,<country>Korea</country>.</nlm:aff><country xml:lang="fr">Corée du Sud</country><wicri:regionArea># see nlm:aff country strict</wicri:regionArea></affiliation></author></analytic><series><title level="j">Journal of Korean Medical Science</title><idno type="ISSN">1011-8934</idno><idno type="eISSN">1598-6357</idno><imprint><date when="2016">2016</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Biopsy</term><term>Coronavirus Infections (diagnosis)</term><term>Coronavirus Infections (virology)</term><term>Creatinine (blood)</term><term>Creatinine (urine)</term><term>Dipeptidyl Peptidase 4 (metabolism)</term><term>Humans</term><term>In Situ Hybridization, Fluorescence</term><term>Kidney (metabolism)</term><term>Kidney (pathology)</term><term>Male</term><term>Microscopy, Confocal</term><term>Microscopy, Electron</term><term>Middle East Respiratory Syndrome Coronavirus (genetics)</term><term>Middle East Respiratory Syndrome Coronavirus (isolation & purification)</term><term>RNA, Viral (genetics)</term><term>RNA, Viral (metabolism)</term><term>Reverse Transcriptase Polymerase Chain Reaction</term><term>Serum Albumin (analysis)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>ARN viral (génétique)</term><term>ARN viral (métabolisme)</term><term>Biopsie</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient (génétique)</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient (isolement et purification)</term><term>Créatinine (sang)</term><term>Créatinine (urine)</term><term>Dipeptidyl peptidase 4 (métabolisme)</term><term>Humains</term><term>Infections à coronavirus (diagnostic)</term><term>Infections à coronavirus (virologie)</term><term>Microscopie confocale</term><term>Microscopie électronique</term><term>Mâle</term><term>RT-PCR</term><term>Rein (anatomopathologie)</term><term>Rein (métabolisme)</term><term>Sujet âgé</term><term>Sérumalbumine (analyse)</term><term>Technique FISH</term></keywords><keywords scheme="MESH" type="chemical" qualifier="analysis" xml:lang="en"><term>Serum Albumin</term></keywords><keywords scheme="MESH" type="chemical" qualifier="blood" xml:lang="en"><term>Creatinine</term></keywords><keywords scheme="MESH" qualifier="analyse" xml:lang="fr"><term>Sérumalbumine</term></keywords><keywords scheme="MESH" qualifier="anatomopathologie" xml:lang="fr"><term>Rein</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" qualifier="diagnostic" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="genetics" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term><term>RNA, Viral</term></keywords><keywords scheme="MESH" qualifier="génétique" xml:lang="fr"><term>ARN viral</term><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term></keywords><keywords scheme="MESH" qualifier="isolation & purification" xml:lang="en"><term>Middle East Respiratory Syndrome Coronavirus</term></keywords><keywords scheme="MESH" qualifier="isolement et purification" xml:lang="fr"><term>Coronavirus du syndrome respiratoire du Moyen-Orient</term></keywords><keywords scheme="MESH" type="chemical" qualifier="metabolism" xml:lang="en"><term>Dipeptidyl Peptidase 4</term><term>Kidney</term><term>RNA, Viral</term></keywords><keywords scheme="MESH" qualifier="métabolisme" xml:lang="fr"><term>ARN viral</term><term>Dipeptidyl peptidase 4</term><term>Rein</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Kidney</term></keywords><keywords scheme="MESH" qualifier="sang" xml:lang="fr"><term>Créatinine</term></keywords><keywords scheme="MESH" type="chemical" qualifier="urine" xml:lang="en"><term>Creatinine</term></keywords><keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Infections à coronavirus</term></keywords><keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Coronavirus Infections</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Biopsy</term><term>Humans</term><term>In Situ Hybridization, Fluorescence</term><term>Male</term><term>Microscopy, Confocal</term><term>Microscopy, Electron</term><term>Reverse Transcriptase Polymerase Chain Reaction</term></keywords><keywords scheme="MESH" qualifier="urine" xml:lang="fr"><term>Biopsie</term><term>Créatinine</term><term>Humains</term><term>Microscopie confocale</term><term>Microscopie électronique</term><term>Mâle</term><term>RT-PCR</term><term>Sujet âgé</term><term>Technique FISH</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>A 68-year old man diagnosed with Middle East Respiratory Syndrome-Coronavirus (MERS-CoV) presented with multiple pneumonic infiltrations on his chest X-ray, and the patient was placed on a mechanical ventilator because of progressive respiratory failure. Urinary protein excretion steadily increased for a microalbumin to creatinine ratio of 538.4 mg/g Cr and a protein to creatinine ratio of 3,025.8 mg/g Cr. The isotope dilution mass spectrometry traceable serum creatinine level increased to 3.0 mg/dL. We performed a kidney biopsy 8 weeks after the onset of symptoms. Acute tubular necrosis was the main finding, and proteinaceous cast formation and acute tubulointerstitial nephritis were found. There were no electron dense deposits observed with electron microscopy. We could not verify the virus itself by in situ hybridization and confocal microscopy (MERS-CoV co-stained with dipeptidyl peptidase 4). The viremic status, urinary virus excretion, and timely kidney biopsy results should be investigated with thorough precautions to reveal the direct effects of MERS-CoV with respect to renal complications.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Memish, Za" uniqKey="Memish Z">ZA Memish</name></author><author><name sortKey="Zumla, Ai" uniqKey="Zumla A">AI Zumla</name></author><author><name sortKey="Al Hakeem, Rf" uniqKey="Al Hakeem R">RF Al-Hakeem</name></author><author><name sortKey="Al Rabeeah, Aa" uniqKey="Al Rabeeah A">AA Al-Rabeeah</name></author><author><name sortKey="Stephens, Gm" uniqKey="Stephens G">GM Stephens</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Guery, B" uniqKey="Guery B">B Guery</name></author><author><name sortKey="Poissy, J" uniqKey="Poissy J">J Poissy</name></author><author><name sortKey="El Mansouf, L" uniqKey="El Mansouf L">L el 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Sevignani</name></author><author><name sortKey="Soares, Mf" uniqKey="Soares M">MF Soares</name></author><author><name sortKey="Marques, Gl" uniqKey="Marques G">GL Marques</name></author><author><name sortKey="Freitas, Ak" uniqKey="Freitas A">AK Freitas</name></author><author><name sortKey="Gentili, A" uniqKey="Gentili A">A Gentili</name></author><author><name sortKey="Chula, Dc" uniqKey="Chula D">DC Chula</name></author><author><name sortKey="Nascimento, Mm" uniqKey="Nascimento M">MM Nascimento</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Carmona, F" uniqKey="Carmona F">F Carmona</name></author><author><name sortKey="Carlotti, Ap" uniqKey="Carlotti A">AP Carlotti</name></author><author><name sortKey="Ramalho, Ln" uniqKey="Ramalho L">LN Ramalho</name></author><author><name sortKey="Costa, Rs" uniqKey="Costa R">RS Costa</name></author><author><name sortKey="Ramalho, Fs" uniqKey="Ramalho F">FS Ramalho</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lai, Kn" uniqKey="Lai K">KN Lai</name></author><author><name sortKey="Tsang, Kw" uniqKey="Tsang K">KW Tsang</name></author><author><name sortKey="Seto, Wh" uniqKey="Seto W">WH Seto</name></author><author><name sortKey="Ooi, Cg" uniqKey="Ooi C">CG Ooi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cha, Rh" uniqKey="Cha R">RH Cha</name></author><author><name sortKey="Joh, Js" uniqKey="Joh J">JS Joh</name></author><author><name sortKey="Jeong, I" uniqKey="Jeong I">I Jeong</name></author><author><name sortKey="Lee, Jy" uniqKey="Lee J">JY Lee</name></author><author><name sortKey="Shin, Hs" uniqKey="Shin H">HS Shin</name></author><author><name sortKey="Kim, G" uniqKey="Kim G">G Kim</name></author><author><name sortKey="Kim, Y" uniqKey="Kim Y">Y Kim</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Cha, Ran Hui" sort="Cha, Ran Hui" uniqKey="Cha R" first="Ran-Hui" last="Cha">Ran-Hui Cha</name></noRegion><name sortKey="Joh, Joon Sung" sort="Joh, Joon Sung" uniqKey="Joh J" first="Joon-Sung" last="Joh">Joon-Sung Joh</name><name sortKey="Kim, Dong Ki" sort="Kim, Dong Ki" uniqKey="Kim D" first="Dong Ki" last="Kim">Dong Ki Kim</name><name sortKey="Kim, Yon Su" sort="Kim, Yon Su" uniqKey="Kim Y" first="Yon Su" last="Kim">Yon Su Kim</name><name sortKey="Kim, Yon Su" sort="Kim, Yon Su" uniqKey="Kim Y" first="Yon Su" last="Kim">Yon Su Kim</name><name sortKey="Lee, Ji Yeon" sort="Lee, Ji Yeon" uniqKey="Lee J" first="Ji Yeon" last="Lee">Ji Yeon Lee</name><name sortKey="Moon, Kyung Chul" sort="Moon, Kyung Chul" uniqKey="Moon K" first="Kyung Chul" last="Moon">Kyung Chul Moon</name><name sortKey="Moon, Kyung Chul" sort="Moon, Kyung Chul" uniqKey="Moon K" first="Kyung Chul" last="Moon">Kyung Chul Moon</name><name sortKey="Shin, Hyoung Shik" sort="Shin, Hyoung Shik" uniqKey="Shin H" first="Hyoung-Shik" last="Shin">Hyoung-Shik Shin</name><name sortKey="Yang, Seung Hee" sort="Yang, Seung Hee" uniqKey="Yang S" first="Seung Hee" last="Yang">Seung Hee Yang</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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