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Pediatric Infection & Vaccine ; : 118-123, 2019.
Article in English | WPRIM | ID: wpr-760894

ABSTRACT

Postinfectious glomerulonephritis (PIGN) is most commonly caused by Streptococcus pyogenes in children, but PIGN associated with other pathogens has been described in the literature. A previously healthy 6-year-old boy was admitted with complaints of cough, fever, and right chest pain. The patient was diagnosed with pneumococcal bacteremia and influenza A virus infection and treated with antibiotics and antiviral agent. During hospitalization, generalized edema, hematuria, proteinuria, and increased blood pressure were observed; therefore, we started administering diuretics. The boy was discharged with gross hematuria, and even microscopic hematuria disappeared 14 weeks after discharge. We report a case of PIGN associated with bacteremic pneumococcal pneumonia and influenza A virus infection in children. A urine test and blood pressure measurement should be considered for the early detection of PIGN in children with pneumococcal or influenza A virus infection when they present with nephritic symptoms.


Subject(s)
Child , Humans , Male , Anti-Bacterial Agents , Bacteremia , Blood Pressure , Chest Pain , Cough , Diuretics , Edema , Fever , Glomerulonephritis , Hematuria , Hospitalization , Influenza A virus , Influenza, Human , Pneumonia , Pneumonia, Pneumococcal , Proteinuria , Streptococcus pneumoniae , Streptococcus pyogenes
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