Therapeutic Plasma Exchange in a Case of Diffuse Alveolar Hemorrhage Secondary to Acute Poststreptococcal Glomerulonephritis

Acute poststreptococcal glomerulonephritis (PSGN) can present with hematuria, hypertension, and edema 7 to 21 days after exposure to certain strains of group A β-hemolytic Streptococcus bacteria. Diffuse alveolar hemorrhage (DAH) is a rare complication of PSGN with only a handful of case reports in the literature. Herein, we describe a case of a 36-year-old man who presented with hematuria, hypertension, edema, renal failure, and DAH treated with steroids, cyclophosphamide, and plasma exchange. The clinical history was …