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Acute Poststreptococcal Glomerulonephritis

more about Acute Poststreptococcal Glomerulonephritis


APSGN

 


  • This is the most common form of glomerulonephritis, a disorder marked by inflammation of the kidneys' glomeruli.

  • Dark brown urine
  • Periorbital swelling
  • Shortness of Breath
  • Rapid breathing
  • Pallor
  • High blood pressure
  • Diarrhea
  • Decreased urine output
  • Seizures


  • Streptococcal infection evidence
  • Laboratory tests:
    1. Manual blood count shows anemia
    2. Elevated blood urea nitrogen (BUN) level
    3. Elevated creatinine (Cr) level
    4. Streptococcus serologic tests (ASO, antihyaluronidase, antideoxyribonuclease) level
    5. Decreased complement 3 level
      Microscopic urine examine shows protein, RBC, WBC in urine

  • Penicillin for 10 days
  • For kidney failure:
    1. Restrict fluid
    2. Maintain calories
    3. Correction of electrolyte disturbance
  • For high blood pressure:
    1. Hospitalization
    2. Diazoxide for pulmonary edema

  • Acute renal failure
  • Hypertensive encephalopathy
  • Heart failure

  • Ninety-five percent of patients recover completely.

  • Your child needs to be hospitalized if he/she has high blood pressure.

  • Lupus nephritis
  • Membranoproliferative glomerulonephritis (MPGN)
  • Nephritis due to bacterial endocarditis
  • Shunt nephritis




more about Acute Poststreptococcal Glomerulonephritis


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