Glomerulonephritis associated with acute pneumococcal pneumonia: a case report.
Streptococcus pyogenes is the most common cause of post-infectious glomerulonephritis. There have been isolated case reports of nephritis following infections with Streptococcus pneumoniae. We report here the case of a 6-year-old white female who presented with blood culture-confirmed pneumococcal pneumonia associated with glomerulonephritis. Her acute renal failure improved over several days, and renal function was normal by 8 weeks post-hospitalization. This case serves to reinforce the concept that other organisms besides Streptococcus pyogenes can trigger a similar post-infectious glomerulonephritis and should be considered in the differential diagnosis of any child who presents with acute glomerulonephritis and respiratory findings. Additionally, pneumococcus group 7 may be a nephritogenic strain and requires further investigation.
Phillips
Joshua
J
Department of Internal Medicine/Pediatrics, University of Mississippi Medical Center, 2500 North State Street, Campus Box 1033-R, Jackson, MS 39216-4504, USA. jfphillips@medicine.umsmed.edu
Palmer
April
A
Baliga
Radhakrishna
R
D058186:Acute Kidney Injury / Q000382:microbiology / Q000503:physiopathology; D016470:Bacteremia / Q000382:microbiology; D002648:Child; D005260:Female; D005921:Glomerulonephritis / Q000382:microbiology*; D006801:Humans; D011018:Pneumonia, Pneumococcal / Q000150:complications; D020127:Recovery of Function