Nephrotic presentation in hydatid cyst disease with predominant tubulointerstital disease

Case report

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Authors: Feroz Aziz, Tanmay Pandya, Himanshu V Patel, Paladugu Ramakrishna, et al.

Published Date June 2009 Volume 2009:2(Default) Pages 23 - 26

DOI: http://dx.doi.org/10.2147/IJNRD.S5760

Feroz Aziz¹, Tanmay Pandya¹, Himanshu V Patel¹, Paladugu Ramakrishna¹, Kamal R Goplani¹, Manoj Gumber¹, Aruna V Vanikar²,  Kamal Kanodia², Pankaj R Shah¹, Hargovind L Trivedi¹

¹Department of Nephrology and Transplantation Medicine; ²Department of Pathology, Lab Medicine, Transfusion Services and Immunohematology, G.R. Doshi and K.M. Mehta Institute of Kidney Diseases and Research Centre (IKDRC), Ahmedabad, Gujarat, India

Abstract: Renal involvement, which can rarely occur in echinococcosis, more commonly manifests as hydatid cyst of the kidney. Scattered case reports of nephrotic syndrome secondary to hydatid cyst in the liver or lung have been reported for over two decades. The glomerular picture varied from minimal change lesion to mesangiocapillary glomerulonephritis. We report a case of predominantly tubulointerstitial nephritis with mesangioproliferative glomerulonephritis in a patient with hepatic hydatid cyst which responded to cyst resection alone.

Keywords: echinococcosis, hydatid cyst, kidney, nephrotic syndrome, tubulointerstitial nephritis