Papillary necrosis: a late complication of nephropathia epidemica?
Rebibou, J.M.; Kiesterman, J.P.; Cercueil, J.P.; Tanter, Y.; Portier, H.; Rifle, G.; Chevet, D.
Clinical Nephrology 48(4): 263-265
1997
ISSN/ISBN: 0301-0430 PMID: 9352163 Document Number: 474145
In the following we describe a case of nephropathia epidemica, which exhibited, a few years after acute infection, arterial hypertension and multiple papillary necrosis. Papillary necrosis was diagnosed by i.v. pyelography and CT Scan. A complete evaluation of the patient failed to show any other etiology for medullary necrosis. If arterial hypertension has already been reported as a complication of nephropathia epidemica, papillary necrosis is exceptional, but may be explained by the severe vascular troubles engendered by Hantavirus infection in kidney medulla.