Pediatric Nephrology

, Volume 19, Issue 4, pp 448–450

Acute renal failure associated with Gemella haemolysans pneumonia

  • Michael Eisenhut
  • Caroline Jones
  • David Hughes
  • Simon Herrington
  • George Kokai
Brief Report

DOI: 10.1007/s00467-003-1344-5

Cite this article as:
Eisenhut, M., Jones, C., Hughes, D. et al. Pediatr Nephrol (2004) 19: 448. doi:10.1007/s00467-003-1344-5

Abstract

We describe a 13-year-old boy who developed acute renal failure associated with Gemella haemolysans pneumonia. At presentation he was found to have macroscopic hematuria associated with lobar pneumonia. Gemella haemolysans was isolated from blood cultures. Renal failure was detected on admission, progressed and dialysis was required until day 18. Renal impairment had resolved by 3 months after the initial presentation. Histopathology of a renal biopsy showed focal proliferative glomerulonephritis, but the predominant abnormality was tubular damage associated with erythrocyte casts in tubular lumina. We believe that tubular damage due to hematuria rather than the glomerular changes was the most likely cause of renal failure.

Keywords

GemellaFocal proliferative glomerulonephritisRenal failureMacroscopic hematuriaPneumonia

Copyright information

© IPNA 2004

Authors and Affiliations

  • Michael Eisenhut
    • 1
    • 4
  • Caroline Jones
    • 1
  • David Hughes
    • 1
  • Simon Herrington
    • 2
  • George Kokai
    • 3
  1. 1.Royal Liverpool Children’s HospitalLiverpoolUK
  2. 2.Department of PathologyRoyal Liverpool University HospitalLiverpoolUK
  3. 3.Department of HistopathologyRoyal Liverpool Children’s HospitalLiverpoolUK
  4. 4.LiverpoolUK