Renal dysfunction may complicate infection with Loa loa.


Types of renal disease:

(1) immune complex glomerulonephritis (especially after chemotherapy)

(2) collapsing focal segmental glomerulosclerosis (associated with hypermicrofilaremia)

(3) granulomatous tubulointerstitial nephritis


The patient may present with:

(1) renal failure

(2) severe hypertension

(3) proteinuria, including the nephrotic syndrome

(4) hematuria


Differential diagnosis:

(1) other forms of renal disease

(2) nephrotoxic drug effects


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