Table 1. Clinical details of cases whose kidney biopsies were stained with C5b-9.
Case ID | Clinical summary | Consultant histopathologist biopsy report | Glomerular C5b-9 |
---|---|---|---|
Control 1 | 18-year-old female with urinary protein: creatinine ratio (uPCR) of 87 and normal serum creatinine | healthy appearances | negative |
Control 2 | 8-year-old female with Warburg syndrome and new onset nephrotic range proteinuria; chronic lung disease; healthy renal function | healthy appearances | negative |
Control 3 | 21-year-old male with intermittent frank hematuria; healthy renal function | healthy appearances | negative |
STEC HUS 1 | 43-year-old female with 1 day history of nausea and vomiting; upon admission, found to be anemic and thrombocytopenic with a serum creatinine of 344 μmol/L; treated with PLEX; biopsied 14 days after symptom onset; Shiga-toxin-producing E. coli documented |
acute glomerular TMA | positive |
STEC HUS 2 | 62-year-old female with 3 days history of bloody diarrhea; thrombocytopenic and anemic; PLEX started but stopped when ADAMTS13 found to be normal; kidney dialysis required and biopsied 15 days after symptom onset; Shiga toxin HUS documented | acute glomerular TMA | positive |
STEC HUS 3 | 2-year-old male with diarrhea and found to have Shiga toxin HUS infection; kidney dialysis required upon admission; biopsied 4 months after presentation | chronic active TMA | positive |
VEGF inhibitor 1 | 67-year-old female with AKI and proteinuria on Avastin; creatinine 468 μmol/L; proteinuria 9 g in 24 h | chronic TMA | positive |
VEGF inhibitor 2 | 65-year-old female with nephrotic range proteinuria on Avastin for metastatic ovarian cancer | acute glomerular TMA | positive |
Atypical HUS 1 | 4-year-old female with microangiopathic anemia and hematuria; identified with alternative complement pathway mutation (factor H mutation) | acute glomerular TMA | positive |