[Has post-streptococcal glomerulonephritis disappeared?].
We report on 21 children with poststreptococcal glomerulonephritis (PSGN). The diagnosis was based on clinical and laboratory criteria. 19/21 had a clinically apparent throat infection initially, but only 6 received antibiotic treatment. Initial symptoms were: macrohematuria (20/21), edema (10/21), arterial hypertension (6/21), reduced creatinine-clearance (11/21), and proteinuria (18/21). No Patient was dialyzed. After an interval of 0.3 to 25 months 19 children are asymptomatic. All patients have normal creatinine-clearances; none is hypertensive. The present data show that PSGN has not disappeared in Mid-Europe. Remarkable acute disturbances occurred, which healed in almost all cases. The importance of accurate bacteriologic diagnosis and adequate therapy is emphasized.
Latta
K
K
Kinderklinik Medizinischen Hochschule Hannover.
Ehrich
J H
JH
Brodehl
J
J
D058186:Acute Kidney Injury / Q000175:diagnosis / Q000188:drug therapy; D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002648:Child; D002675:Child, Preschool; D005260:Female; D005921:Glomerulonephritis / Q000175:diagnosis* / Q000188:drug therapy; D006801:Humans; D007677:Kidney Function Tests; D008297:Male; D010612:Pharyngitis / Q000188:drug therapy; D013290:Streptococcal Infections / Q000175:diagnosis* / Q000188:drug therapy; D013297:Streptococcus pyogenes / Q000187:drug effects
D000900:Anti-Bacterial Agents
Ist die Poststreptokokkenglomerulonephritis verschwunden?