Post streptococcal acute glomerulonephritis secondary to sporadic Streptococcus equi infection.
Streptococcus equi subspecies zooepidemicus infection is rare in humans, but a well-known cause of pyogenic disease in cows and horses. S. zooepidemicus uncommonly causes post-strep glomerulonephritis (PSGN) in humans via epidemic outbreaks. We present a sporadic case of post S. zooepidemicus glomerulonephritis in a child most probably contracted from a horse. The 14-year-old girl presented with the typical signs of PSGN, with S. equi zooepidemicus isolated from a blood culture, together with a low C3 and raised anti-DNAse B. This is the first known report of a sporadic case of PSGN in a child caused by this organism.
Thorley
Anna M
AM
Department of Paediatrics, Queen Elizabeth Hospital, Sheriff Hill, NE9 6SX, Gateshead, Tyne and Wear, UK. annamcocker@hotmail.com
Campbell
David
D
Moghal
Nadeem E
NE
Hudson
Sue
S
D000293:Adolescent; D005260:Female; D005921:Glomerulonephritis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D013290:Streptococcal Infections / Q000150:complications / Q000382:microbiology*; D018502:Streptococcus equi / Q000302:isolation & purification* / Q000378:metabolism