{"id":"https://openalex.org/W7140293162","doi":"https://doi.org/10.1016/j.ekir.2026.106193","title":"WCN26-3326 Lupus-Like Shunt Nephritis with PR3-ANCA Positivity: A Case Caused by Cutibacterium acnes 24 Years After Ventriculoatrial Shunt Placement","display_name":"WCN26-3326 Lupus-Like Shunt Nephritis with PR3-ANCA Positivity: A Case Caused by Cutibacterium acnes 24 Years After Ventriculoatrial Shunt Placement","publication_year":2026,"publication_date":"2026-03-25","ids":{"openalex":"https://openalex.org/W7140293162","doi":"https://doi.org/10.1016/j.ekir.2026.106193"},"language":"en","primary_location":{"id":"doi:10.1016/j.ekir.2026.106193","doi":"https://doi.org/10.1016/j.ekir.2026.106193","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ekir.2026.106193","pdf_url":null,"source":{"id":"https://openalex.org/S2764478277","display_name":"Kidney International Reports","issn_l":"2468-0249","issn":["2468-0249"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","norway-1","oarl","poland-40","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney International Reports","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref","doaj"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1016/j.ekir.2026.106193","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5130603819","display_name":"Shotaro Michizoe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Shotaro Michizoe","raw_affiliation_strings":["Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5000768520","display_name":"Erika Hishida","orcid":"https://orcid.org/0000-0003-4141-1933","observed_orcids":["https://orcid.org/0000-0003-4141-1933"]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Erika Hishida","raw_affiliation_strings":["Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5037440138","display_name":"Ryu Kurokawa","orcid":"https://orcid.org/0000-0002-8336-8366","observed_orcids":["https://orcid.org/0000-0002-8336-8366"]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Ryu Kurokawa","raw_affiliation_strings":["Neurosurgery, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurosurgery, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130561444","display_name":"Hoshito Otsuka","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Hoshito Otsuka","raw_affiliation_strings":["Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5003483588","display_name":"Chisato Takahashi","orcid":"https://orcid.org/0000-0002-7215-8726","observed_orcids":["https://orcid.org/0000-0002-7215-8726"]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Chisato Takahashi","raw_affiliation_strings":["Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5101638019","display_name":"Yuka Sato","orcid":"https://orcid.org/0000-0003-4234-9617","observed_orcids":["https://orcid.org/0000-0003-4234-9617"]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yuka Sato","raw_affiliation_strings":["Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5005443399","display_name":"Akiko Kaiga","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akiko Kaiga","raw_affiliation_strings":["Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130629454","display_name":"Makoto Abe","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Makoto Abe","raw_affiliation_strings":["Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5113539521","display_name":"Jun Hirao","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Jun Hirao","raw_affiliation_strings":["Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5107483589","display_name":"Yuko Ono","orcid":"https://orcid.org/0000-0003-2044-1076","observed_orcids":["https://orcid.org/0000-0003-2044-1076"]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Yuko Ono","raw_affiliation_strings":["Pathology, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Pathology, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5130629739","display_name":"Akutsu Hiroyoshi","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Akutsu Hiroyoshi","raw_affiliation_strings":["Neurosurgery, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Neurosurgery, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5034027054","display_name":"Tatemitsu Rai","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I78274823","display_name":"Dokkyo Medical University","ror":"https://ror.org/05k27ay38","country_code":"JP","type":"education","lineage":["https://openalex.org/I78274823"]}],"countries":["JP"],"is_corresponding":false,"raw_author_name":"Tatemitsu Rai","raw_affiliation_strings":["Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Nephrology and Hypertension, Dokkyo Medical University, Tochigi, Japan","institution_ids":["https://openalex.org/I78274823"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I78274823"],"apc_list":{"value":2800,"currency":"USD","value_usd":2800},"apc_paid":{"value":2800,"currency":"USD","value_usd":2800},"fwci":0.0,"has_fulltext":false,"cited_by_count":0,"citation_normalized_percentile":{"value":0.16418841,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":"11","issue":"4","first_page":"106193","last_page":"106193"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11029","display_name":"Renal Diseases and Glomerulopathies","score":0.27250000834465027,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T11029","display_name":"Renal Diseases and Glomerulopathies","score":0.27250000834465027,"subfield":{"id":"https://openalex.org/subfields/2727","display_name":"Nephrology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10697","display_name":"Vasculitis and related conditions","score":0.20200000703334808,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10308","display_name":"Systemic Lupus Erythematosus Research","score":0.08470000326633453,"subfield":{"id":"https://openalex.org/subfields/2745","display_name":"Rheumatology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/pr3-anca","display_name":"PR3-ANCA","score":0.9480000138282776},{"id":"https://openalex.org/keywords/cutibacterium-acnes","display_name":"Propionibacterium acnes","score":0.8859999775886536},{"id":"https://openalex.org/keywords/ventriculoatrial-shunt","display_name":"ventriculoatrial shunt","score":0.9670000076293945},{"id":"https://openalex.org/keywords/shunt-infection","display_name":"shunt infection","score":0.6759999990463257},{"id":"https://openalex.org/keywords/postinfectious-glomerulonephritis","display_name":"post-infectious glomerulonephritis","score":0.7590000033378601},{"id":"https://openalex.org/keywords/anca-associated-glomerulonephritis","display_name":"ANCA-associated glomerulonephritis","score":0.7929999828338623}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.9908000230789185},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.7746999859809875},{"id":"https://openalex.org/C2780968331","wikidata":"https://www.wikidata.org/wiki/Q1890115","display_name":"Shunt (medical)","level":2,"score":0.756600022315979},{"id":"https://openalex.org/C2777058396","wikidata":"https://www.wikidata.org/wiki/Q401402","display_name":"Nephritis","level":2,"score":0.4749999940395355},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2526000142097473},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.1826000064611435},{"id":"https://openalex.org/C2778134817","wikidata":"https://www.wikidata.org/wiki/Q193003","display_name":"Hydrocephalus","level":2,"score":0.15690000355243683},{"id":"https://openalex.org/C71472368","wikidata":"https://www.wikidata.org/wiki/Q676880","display_name":"Text mining","level":2,"score":0.15649999678134918},{"id":"https://openalex.org/C2780091579","wikidata":"https://www.wikidata.org/wiki/Q9377","display_name":"Kidney","level":2,"score":0.155799999833107},{"id":"https://openalex.org/C2778653478","wikidata":"https://www.wikidata.org/wiki/Q1054718","display_name":"Kidney disease","level":2,"score":0.1468999981880188}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.1016/j.ekir.2026.106193","doi":"https://doi.org/10.1016/j.ekir.2026.106193","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ekir.2026.106193","pdf_url":null,"source":{"id":"https://openalex.org/S2764478277","display_name":"Kidney International Reports","issn_l":"2468-0249","issn":["2468-0249"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","norway-1","oarl","poland-40","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney International Reports","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.1016/j.ekir.2026.106193","doi":"https://doi.org/10.1016/j.ekir.2026.106193","is_oa":true,"landing_page_url":"https://doi.org/10.1016/j.ekir.2026.106193","pdf_url":null,"source":{"id":"https://openalex.org/S2764478277","display_name":"Kidney International Reports","issn_l":"2468-0249","issn":["2468-0249"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-2","norway-1","oarl","poland-40","vabb-shw"],"host_organization":"https://openalex.org/P4310320990","host_organization_name":"Elsevier BV","host_organization_lineage":["https://openalex.org/P4310320990"],"host_organization_lineage_names":["Elsevier BV"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Kidney International Reports","raw_type":"journal-article"},"sustainable_development_goals":[{"display_name":"Good health and well-being","score":0.98580002784729,"id":"https://metadata.un.org/sdg/3"}],"study_designs":[{"display_name":"Case Report","id":"https://openalex.org/study-designs/case-report"}],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":0,"referenced_works":[],"related_works":["https://openalex.org/W2594314242","https://openalex.org/W2029349222","https://openalex.org/W2605086127","https://openalex.org/W2031075922","https://openalex.org/W2397378494","https://openalex.org/W4302318260","https://openalex.org/W40171720","https://openalex.org/W2783773718","https://openalex.org/W2141859871","https://openalex.org/W2136594870"],"abstract_inverted_index":{"Shunt":[0],"nephritis":[1,24],"is":[2],"an":[3,19],"uncommon":[4],"complication":[5],"of":[6,22,46],"ventriculoatrial":[7],"(VA)":[8],"shunts":[9],"that":[10],"typically":[11],"manifests":[12],"years":[13,33],"after":[14],"implantation.":[15],"This":[16,42],"report":[17],"describes":[18],"atypical":[20],"case":[21],"shunt":[23],"caused":[25],"by":[26],"Cutibacterium":[27],"acnes":[28],"VA-shunt":[29],"infection":[30],"occurring":[31],"24":[32],"post-placement":[34],"and":[35,49],"presenting":[36],"with":[37,55],"unique":[38],"lupus-like":[39],"immunopathological":[40],"findings.":[41],"highlights":[43],"the":[44],"importance":[45],"timely":[47],"surgical":[48],"medical":[50],"interventions,":[51],"even":[52],"in":[53],"cases":[54],"prolonged":[56],"latency.":[57]},"counts_by_year":[],"updated_date":"2026-10-27T15:51:10.671819","created_date":"2026-03-26T00:00:00"}
