Immunoglobulin A Nephropathy Associated with Plasmodium falciparum Malaria

Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea.
Journal of Korean medical science (Impact Factor: 1.27). 04/2012; 27(4):446-9. DOI: 10.3346/jkms.2012.27.4.446
Source: PubMed


Glomerulonephritis occurs as a rare form of renal manifestation in Plasmodium falciparum malaria. Herein, we report a case of falciparum malaria-associated IgA nephropathy for the first time. A 49-yr old male who had been to East Africa was diagnosed with Plasmodium falciparum malaria. Microhematuria and proteinuria along with acute kidney injury developed during the course of the disease. Kidney biopsy showed mesangial proliferation and IgA deposits with tubulointerstitial inflammation. Laboratory tests after recovery from malaria showed disappearance of urinary abnormalities and normalization of kidney function. Our findings suggest that malaria infection might be associated with IgA nephropathy.

Download full-text


Available from: Yoonseon Park, May 19, 2015
  • Source
    • "To our best of knowledge, the only case suggesting the link between IgAN and P. falciparum infection was recently reported by Yoo et al. (16). They described a 49-year-old male who was diagnosed with P. falciparum malaria. "
    [Show abstract] [Hide abstract]
    ABSTRACT: Glomerular involvement occurs as a rare form of renal manifestation in Plasmodium falciparum malaria. Here, we report a rare case of falciparum malaria-associated IgA nephropathy. A 28-year-old man was admitted because of fever and abdominal pain. Ultrasound and computed tomography (CT) showed right kidney pyonenphrosis. Despite placing a nephrostomy tube, fever continued. Repeated CT was in favor of focal pyelonephritis. In addition, peripheral blood smear suggested malaria. Anti-malarial drugs were initiated and right nephrectomy was performed. One year after recovery from malaria, a persistent rise in serum creatinine was detected. A left kidney biopsy showed mesangial proliferation and dominant IgA deposits in immunofluorescence study while C1q was not deposited. The impression was IgA nephropathy with M1E0S0T0 of Oxford classification. The patient was prescribed a combination of low dose prednisolone and angiotensin converting enzyme inhibitor. Six months after treatment serum creatinine decreased from 1.6 mg/dL to 1.3mg/dL and urine abnormalities were disappeared. Our findings suggest that malaria infection might be associated with IgA nephropathy.
    Full-text · Article · May 2013 · Iranian Journal of Public Health
  • [Show abstract] [Hide abstract]
    ABSTRACT: We show that field-flattened strands may be added to and arbitrarily positioned within a field-flattened shell to create patterned, flattened modes. Patterning does not alter the effective index or flatness of the flattened mode but does alter the characteristics of other modes; we show that it can improve a flattened mode's bend performance significantly. Patterning provides a new and potentially valuable waveguide design tool that may lead to higher-power transport and laser fibers. (C) 2013 Optical Society of America
    No preview · Article · Sep 2013 · Optics Letters
  • [Show abstract] [Hide abstract]
    ABSTRACT: In this paper we concentrate on the role of infections in IgA nephropathy both from a pathogenetic and clinic point of view. The current hypotheses as regards the role of infections in the pathogenesis of IgA nephropathy are: (a) role of particular pathogens, (b) chronic exposure to mucosal infections, (c) abnormal handling of commensal microbes (gut microbiota). We also focus on particular infections reported in association with classic IgA nephropathy (HIV, malaria, Chlamydia, Lyme disease), as well as on IgA dominant-infection-associated glomerulonephritis. This is a unique form of glomerulonephritis, where IgA deposition is dominant. It is mostly recognized in old, diabetic patients and in association with staphylococcal infection.
    No preview · Article · Jan 2016 · Journal of nephrology