Asunto(s)
Glomerulonefritis/etiología , Escabiosis/complicaciones , Escabiosis/epidemiología , Adulto , Animales , Niño , Brotes de Enfermedades , Enfermedades de los Perros/microbiología , Perros , Glomerulonefritis/epidemiología , Humanos , Escabiosis/sangre , Escabiosis/microbiología , Escabiosis/orina , Seroglobulinas/análisis , Enfermedades Cutáneas Infecciosas/complicaciones , Infecciones Estreptocócicas/complicaciones , Streptococcus/aislamiento & purificación , Trinidad y TobagoRESUMEN
In September, 1970, an increasing number of the patients admitted with acute glomerulonephritis to San Fernado General Hospital in Trinidad were noted to have skin lesions characteristic of scabies. á-haemolytic streptococci were isolated from these lesions and also from similar scabetic lesions in members of the patients' families, in " normal" schoolchildren, and in the general population of a small village. Concomitantly, many dogs in nephritic households, as well as others running wild, were observed to have lesions compatible with scabies from which á-haemolytic streptococci also were isolated. Sarcoptes scabiei were indentified in lesions of both patients and dogs and were morphologically indentical. After the onset of this infestation with scabies, the admission-rate of patients with acute proportions which have proved, since this study, to be the beginning of the largest epidemic of acute glomerulonephritis yet recorded in Trinidad.(AU)