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Efficacy and Safety of Methenamine for Urinary Tract Infection Prophylaxis: A Systematic Review
This study systematically reviewed the clinical effectiveness and safety of methenamine as a non-antibiotic option for urinary tract infection (UTI) prophylaxis, particularly in older adults and renal transplant recipients. It concluded that methenamine could be a promising option for UTI prophylaxis, particularly in populations at risk for recurrent infections.

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Diabetic with Nephrotic Syndrome: A Case of “Masked” Membranous Nephropathy
A 63-year-old man with diabetes and hypertension presented with nephrotic syndrome. Biopsy suggested Class 2 diabetic nephropathy, but electron microscopy showed stage 2 membranous nephropathy. Initial immunofluorescence was negative; pronase digestion revealed masked IgG-κ deposits. He was treated with rituximab and steroids, resulting in reduced proteinuria.
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