Renal Amyloidosis with Nephrotic Syndrome in Two Patients with Schistosomiasis Mansoni and Chronic Salmonellosis

L. J. Strausbaugh U.S. Naval Medical Research Unit No. 3, Cairo, Arab Republic of Egypt

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Z. Farid U.S. Naval Medical Research Unit No. 3, Cairo, Arab Republic of Egypt

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G. I. Higashi U.S. Naval Medical Research Unit No. 3, Cairo, Arab Republic of Egypt

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S. Bassily U.S. Naval Medical Research Unit No. 3, Cairo, Arab Republic of Egypt

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This report describes two Egyptian patients who presented with the nephrotic syndrome and concurrent infections with Schistosoma mansoni and Salmonella paratyphi A. Unlike similar cases previously reported from this unit, these patients did not respond to antimicrobial and antischistosomal therapy, and their renal biopsies demonstrated amyloidosis. These two case reports and several experimental observations suggest that chronic schistosomiasis and salmonellosis may lead to secondary amyloidosis in susceptible individuals.

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