Abstract

Infection has been well documented to cause glomerulonephritis (GN), with Streptococcus being the most common pathogen. However, the pattern of the disease has changed over recent decades [1–3]. The bacterial flora now comprises Staphylococcus and Gram-negative strains, and the focus of infection is wider than the throat and the skin [1]. GN secondary to osteomyelitis has rarely been reported. We report a case of immune complex-mediated diffuse proliferative GN with acute on chronic renal failure, superimposed on diabetic nephropathy due to osteomyelitis caused by Enterobacter cloacae.

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