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A Lurking Raging Infection in an Apparent Case of ANCA Vasculitis

Author

Listed:
  • Syed Rafay Ali Sabzwari

    (Lehigh Valley Health Network, USA)

  • Mohammad Wazir
  • Syed Askari Hasan
  • Nimra Khan

    (Florida Hospital, USA)

  • Aadil Maqsood

    (Geisinger Medical Center, USA)

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.

Suggested Citation

  • Syed Rafay Ali Sabzwari & Mohammad Wazir & Syed Askari Hasan & Nimra Khan & Aadil Maqsood, 2018. "A Lurking Raging Infection in an Apparent Case of ANCA Vasculitis," Orthopedics and Rheumatology Open Access Journals, Juniper Publishers Inc., vol. 10(2), pages 23-25, January.
    • Handle: RePEc:adp:joroaj:v:10:y:2018:i:2:p:23-25
    DOI: 10.19080/OROAJ.2018.10.555782
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