2016, Number 1
Arch Inv Mat Inf 2016; 8 (1)
Post-streptococcal glomerulonephritis of atypical clinical presentation with secondary nephrotic syndrome. Case report
Moreno GLS, López CMB
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Language: Spanish
References: 5
Page: 32-35
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ABSTRACT
Introduction: The post-streptococcal glomerulonephritis post-infectious usually clinically manifested as nephrotic syndrome and evolution is favorable in 95% of cases. The rest is often complicated with secondary hypertension, chronic kidney disease or nephrotic syndrome. In the latter described between 2 and 4% of cases. Case report: Patient five years old who started his condition with the presence of pale, jaundiced, abdominal pain and vomiting gastro-food content. In particular laboratory test means were taken, reporting hemoglobin 7.4 mg/dL, 426,000 platelets, leukocytes 15,800. Urinalysis protein 300 mg/dL, hemoglobin +++. Enter on suspicion of nephritic syndrome. On admission hemoglobin 5 mg/dL, without hypertension. Because of the severity of anemia was assessed by hematology, determining coursing with autoimmune hemolytic anemia infectious process. Samples were taken to determine antistreptolysin antibodies, found in 386 IU/mL, post-streptococcal glomerulonephritis is diagnosed. Appearing progressive proteinuria and hypoalbuminemia without edema and hematuria. Conclusion: In the nephrotic syndrome in children the cause is idiopathic, with excellent response to steroids. The clinical and laboratory tests manifestations the diagnosis of post-infectious post-streptococcal glomerulonephritis are confirmed. The clinical course was completely atypical, because the nephrotic syndrome steroid treatment is not warranted because that was decided in the fourth week. We review the case because in this hospital, after 14 years, is the first time we encounter a patient with these characteristics.REFERENCES