Abstract

Thromboembolic events contribute to the most serious outcomes in patients with nephrotic syndrome. We report a case of a young male patient with mesangial proliferative glomerulonephritis presenting with nephrotic syndrome, which rapidly progressed to mesenteric and portal veins thrombosis and septic shock, ultimately leading to death.

Highlights

  • A 19-years-old, male patient was admitted due to bilateral lower extremity edema and abdominal distension

  • Treatment with low molecular weight heparin was immediately started. 45 hrs after admission, the patient suffered from dyspnea and had a respiratory rate of 65 breaths/min and heart rate of 132 beats/min and the blood pressure was 65/30 mmHg

  • The patient had to be transferred to the ICU for intubation but refused due to financial limitation. 3 hrs later, the patient felt irritated with blurred consciousness and had tremor of the head and both upper and lower limbs with a blood pressure of 110/65 mmHg, heart rate of 135 beats/min and respiratory rate of 40 breaths/min with shallow and rapid breathing

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Summary

Introduction

Nephrotic syndrome, Mesenteric and portal veins thrombosis, Septic shock A 19-years-old, male patient was admitted due to bilateral lower extremity edema and abdominal distension. The patient was diagnosed with nephrotic syndrome and renal biopsy revealed mesangial proliferative glomerulonephritis.

Results
Conclusion
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