eng Science and Education Publishing American Journal of Medical Case Reports 2374-216X 2022-03-01 10 3 45 47 10.12691/ajmcr-10-3-1 AJMCR20221031 article Wisam Mnkana 1 Nikita Wong 2 Eman EL-Sawalhy Eman.elsawalhy@beaumont.org 2 Ahmed Abdelrahim 2 Hussein Gaith 2 Zhang Ping 3 Rabih Bazzi 4 Department of Internal Medicine, Beaumont Hospital, Dearborn, MI Wayne State University, School of Medicine, Detroit, MI Pathology Department, Oakland University William Beaumont School of Medicine Division of Nephrology, Internal Medicine Department, Beaumont Hospital, Dearborn, MI Pauci-immune glomerulonephritis ( PIGN) is a potentially life-threatening condition that progresses rapidly to renal failure within days or weeks. Here we present a 62 -year-old African American female who was found to have acute kidney injury at the time of presentation. Further workup including renal biopsy showed anti-neutrophilic cytoplasmic antibodies (ANCA) associated pauci-immune crescentic glomerulonephritis. The patient was started on steroids and cyclophosphamide however, the patient¡¯s kidney function continued to get worse and required hemodialysis. Unfortunately, our patient passed away after two months of diagnosis secondary to cardiac arrest. http://pubs.sciepub.com/ajmcr/10/3/1/ajmcr-10-3-1.pdf Pauci immune glomerulonephritis crescentic glomerulonephritis survival