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IgA-dominant Postinfectious Glomerulonephritis Associated with Escherichia coli Infection Caused by Cholangitis.
[cholangiocarcinoma]
A
76
-
year
-old
man
with
a
history
of
type
2
diabetes
mellitus
was
admitted
with
cholangitis
caused
by
cholangiocarcinoma
.
Cholangitis
with
Escherichia
coli
(
E
.
coli
)
bacteremia
recurred
due
to
the
unstable
bile
drainage
.
At
1
month
after
recurrence
,
rapidly
progressive
glomerulonephritis
with
nephrotic
syndrome
was
manifested
.
Renal
biopsy
findings
were
consistent
with
immunoglobulin
A
(
IgA
)
-
dominant
postinfectious
glomerulonephritis
(
PIGN
)
.
After
ensuring
that
the
recurrent
cholangitis
was
controlled
by
drainage
and
antibiotic
therapy
,
oral
prednisolone
was
initiated
,
and
the
patient
's
renal
function
and
proteinuria
subsequently
gradually
improved
.
This
is
the
first
case
report
of
IgA-dominant
PIGN
associated
with
cholangitis
caused
by
E
.
coli
infection
.
Diseases
Validation
Diseases presenting
"rapidly progressive glomerulonephritis"
symptom
cholangiocarcinoma
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