A Lurking Raging Infection in an Apparent Case of ANCA Vasculitis

Syed Rafay Ali Sabzwari, Mohammad Wazir, Syed Askari Hasan, Nimra Khan and Aadil Maqsood
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Syed Rafay Ali Sabzwari: Lehigh Valley Health Network, USA
Nimra Khan: Florida Hospital, USA
Aadil Maqsood: Geisinger Medical Center, USA

Orthopedics and Rheumatology Open Access Journals, 2018, vol. 10, issue 2, 23-25

Abstract: The association between Infective Endocarditis (IE) and positive testing for Anti-Neutrophil Cytoplasmic Antibody (ANCA) can raise diagnostic as well as treatment dilemmas. This is a case of a 39 year old Caucasian female without history of intravenous drug abuse who presented with worsening bilateral leg painful and purpuric rash for 1 week. Laboratory data was significant for normal CBC, white count and complement levels whereas creatinine was 4.49 mg/dl with a normal baseline, hepatitis C positive, C-ANCA titer 1:40 (anti-proteinase 3 positive) and urinalysis with 1+ blood and protein. Patient was presumptively treated as ANCA vasculitis with high dose steroids as a kidney biopsy could not be obtained due to thin cortex on renal ultrasound.

Keywords: journal of orthopaedics; orthopaedics journals impact factor; orthopaedics articles impact factor; scholarly publishing orthopedics journals; juniper publishers opena ccess orthopedics journal; Rheumatology; rheumatology journals impact factor 2018; rheumatology journals impact factor; rheumatology open access journals; juniper publishers review (search for similar items in EconPapers)
Date: 2018
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Persistent link: https://EconPapers.repec.org/RePEc:adp:joroaj:v:10:y:2018:i:2:p:23-25

DOI: 10.19080/OROAJ.2018.10.555782

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