The finding of a nephritic urine sediment (erythrocytes, erythrocyte casts, and proteinuria) in an azotemic patient with an active infection suggests IRGN. IRGN is an immune complex–mediated disease most frequently associated with nonstreptococcal infections, with the antigen in the immune complex derived from the infectious agent. Immune complexes deposit in the subepithelial area and activate complement with recruitment of inflammatory cells, leading to a proliferative GN
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- (no access) - MKSAP_17.pdf, p3395
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