Renal involvement is common in patients with bacterial endocarditis .Very rarely, patients may present with a extensive glomerular epithelial crescent formation with a rapid detoriation in renal function.
This study reports a 9-years old female patient with endocarditis and crescentic glomerulonephritis with impaired renal function .We used a brief course of corticosteroid and appropriate antibiotic due to hypocomplemenemia.
Approperiate antibiotic therapy is essential to eradicate the infection.
A breif Course of corticosteroid therapy may be helpful in those with deteriorating renal function .Plasmapheresis is may be useful in those with persistent hypocomplementemia.
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