Successful hemodialysis withdrawal with glucocorticoid treatment after achieving infection control in a case of crescentic IgA-dominant staphylococcus-associated glomerulonephritis.
CEN Case RepSep 17, 2026 (epub)
Yuto Nishiyama, Mimiko Matsumura, Yukiko Yasui et al.
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Case in brief
A 70-year-old woman presented with bacteremia and multiple abscesses due to methicillin-susceptible Staphylococcus aureus, leading to acute kidney injury and the need for hemodialysis. Renal biopsy confirmed IgA-dominant staphylococcus-associated glomerulonephritis. After achieving infection control, glucocorticoid treatment was initiated, resulting in gradual renal function improvement and successful hemodialysis withdrawal.
Diagnostic / clinical pearl
In crescentic IgA-dominant staphylococcus-associated glomerulonephritis, timely glucocorticoid therapy may be beneficial after confirming infection control, even in the context of progressive renal dysfunction.