TABLE 1.
Renal manifestations associated with parasitic diseasesa
Parasite (disease) | Host | Clinical manifestations | Renal lesionsb | Pathogenesisb |
---|---|---|---|---|
Plasmodium malariae (quartan malaria) | Human | Proteinuria to nephrotic syndrome | Mesangioproliferative GN, membranoproliferative GN | IC, autoimmune component |
Human | Nephrotic syndrome | Minimal-change disease (rare) | ||
Human | Nephrotic syndrome | Focal segmental glomerulosclerosis (rare) | ||
Human | Nephrotic syndrome | Membranous GP (rare) | IC, autoimmune component | |
Aotus monkey | Nephrotic syndrome | Membranoproliferative GN | IC | |
Plasmodium falciparum (tertian malaria) | Human | Acute renal failure | Tubulointerstitial damage | Hemolysis and hypoperfusion |
Human | Proteinuria to nephrotic syndrome (rare) | Mesangioproliferative GN, membranoproliferative GN (rare) | IC, coagulopathy | |
Aotus monkey | Mesangioproliferative GN | IC, coagulopathy | ||
Plasmodium berghei | Rat, mouse | Proteinuria | Mesangioproliferative GN | IC, autoimmune component |
Schistosoma haematobium | Human | Chronic renal failure | Hydronephrosis and pyelonephritis | Vesicoureteral fibrosis and reflux |
Schistosoma mansoni | Human | Proteinuria | Mesangioproliferative GN, membranoproliferative GN | IC, autoimmune component, portal shunting |
Human | Nephrotic syndrome | Focal segmental glomerulosclerosis | ||
Human | Nephrotic syndrome | Membranous GP | ||
Human | Nephrotic syndrome | Amyloidosis (rare) | ||
Human | Acute renal failure | Crescentic GN (rare) | ||
Baboon | Membranoproliferative GN | IC | ||
Schistosoma japonicum | Primate, rabbit | Mesangioproliferative GN | IC | |
Membranoproliferative GN | ||||
Leishmania donovani (kala-azar) | Human | Proteinuria | Mesangioproliferative GN | IC, autoimmune component, coagulopathy |
Human | Nephrotic syndrome | Amyloidosis | ||
Hamster | Mesangioproliferative GN | IC | ||
Trypanosoma brucei rhodesiense, Trypanosoma brucei gambiense | Human | Proteinuria | Mesangioproliferative GN (rare) | IC |
Trypanosoma brucei brucei | Rhesus monkey, mouse, rat, rabbit | Proteinuria | Mesangioproliferative GN, membranoproliferative GN | IC, autoimmune component |
Toxoplasma gondii | Human | Proteinuria to nephritic syndrome | Membranoproliferative GN | IC, coagulopathy |
Human | Nephrotic syndrome | Focal segmental glomerulosclerosis (rare) | Congenital toxoplasmosis | |
Human | Acute renal failure | Tubulointerstitial nephritis | Sulfadiazine crystal deposition | |
Trichinella spiralis | Human | Proteinuria | Mesangioproliferative GN, membranoproliferative GN | IC, coagulopathy |
Human | Mild renal failure | Tubular necrosis | Hypovolemia and myoglobinuria | |
Opisthorchis viverrini | Hamster | Proteinuria | Mesangioproliferative GN, amyloidosis | IC |
Babesia bovis, Babesia divergens, Babesia microti | Human | Acute renal failure | Tubular necrosis | Shock and hemolysis |
Babesia canis | Dog | Acute renal failure | Tubular necrosis | Shock and hemolysis |
Babesia rhodhaini | Rat | Mild proteinuria | Mesangioproliferative GN | IC |
Echinococcus granulosus (hydatid disease) | Human | Nephrotic syndrome | Membranous GP (rare) | IC |
Mass effect | Cyst (generally solitary) | |||
Wuchereria bancrofti, Brugia malayi (lymphatic filariasis), Onchocerca volvulus (river blindness), Loa loa | Human | Proteinuria to nephritic syndrome | Mesangioproliferative GN, membranoproliferative GN | IC |
Human | Nephrotic syndrome | Amyloidosis (rare) | ||
Human | Renal failure | Interstitial nephritis (rare) | ||
Wuchereria bancrofti | Human | Nephritic syndrome | Acute GN (rare) | |
Loa loa | Human | Nephrotic syndrome | Membranous GP | |
Human | Nephrotic syndrome | Focal segmental glomerulosclerosis (rare) |