Furthermore, we were able to achieve complete remission with SGLT2 inhibitors alone, without the use of immunosuppressive drugs. Physicians should recognize that MPGN can manifest as MPGN associated with latent tuberculosis infection, even in the presence of MPO-ANCA positivity, without any signs of vasculitis. The gene discussed is MPO; the disease is primary membranoproliferative glomerulonephritis.