Glomerulonefrite acuta post-infettiva in un paziente anziano e diabetico con infezione cutanea da Staphylococcus Aureus meticillino resistente

Acute post-infectious glomerulonephritis in an elderly patient, diabetic with methicillin-resistant staphylococcus aureus cutaneous infectionPost-infectious glomerulonephritis epidemiology is changing, especially in western Countries, probably because of an increase of elderly patients showing more complex comorbidities.Beta hemolytic Streptococcus represents the main pathogenic agent involved in post-infectious glomerulonephritis in children, while methicillin-resistant Staphylococcus Aureus (MRSA) is prevalent in post-infectious glomerulonephritis in elderly patients.In adult and elderly patients, post-infectious glomerulonephritis classic features (nephritic syndrome with hematuria, arterial hypertension, edema, renal function impairment) are rarely present and diagnosis could often be missed. We describe the case of a 71 years old patient; the patient was diabetic and hypertensive and he described the presence of acute kidney injury and severe metabolic acidosis, probably due to metformin treatment.Al...