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Previous Volume 354:2803-2813 June 29, 2006 Number 26 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Presentation of Case

Dr. Alec D. Weisberg (Medicine): An 84-year-old man was transferred to this hospital because of staphylococcal bacteremia and renal failure. Two weeks before admission, fever, chills, nausea, vomiting, shortness of breath, productive cough, and generalized weakness developed. The patient went to the emergency department of a local hospital. The oxygen saturation was 88 percent while the patient was breathing ambient air. A radiograph of the chest showed patchy bilateral pulmonary infiltrates. He was admitted to the hospital. Blood cultures were positive for methicillin-sensitive Staphylococcus aureus. He was treated with levofloxacin and cefotaxime for five days, and on the fifth . . . [Full Text of this Article]

Differential Diagnosis

Differential Diagnosis

            Staphylococcal Infection and Glomerulonephritis

            Staphylococcal Superantigen–Associated Glomerulonephritis

            Henoch–Schönlein Purpura

            ANCA-Associated Vasculitis

            Systemic Lupus Erythematosus

Other Causes of Renal Injury

            Acute Tubular Injury

            Acute Interstitial Nephritis

            Septic Emboli

Summary

Clinical Diagnosis

Dr. Mark D. Denton's Diagnoses

Pathological Discussion

Anatomical Diagnoses

Source Information

From the Renal Unit, Derriford Hospital, and the Department of Medicine, Peninsula Medical School — both in Plymouth, United Kingdom (M.D.D.); and the Departments of Radiology (S.R.D.), Cardiology (S.C.), and Pathology (R.B.C.), Massachusetts General Hospital; and the Departments of Radiology (S.R.D.), Medicine (S.C.), and Pathology (R.B.C.), Harvard Medical School — both in Boston.

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