Postinfectious Glomerulonephritis Associated with Pneumococcus and Influenza A Virus Infection in a Child: a Case Report and Literature Review
Pediatric Infection & Vaccine
; : 118-123, 2019.
Article
in English
| WPRIM (Western Pacific)
| ID: wpr-760894
Responsible library:
WPRO
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.
Full text:
Available
Database:
WPRIM (Western Pacific)
Main subject:
Influenza A virus
/
Pneumonia
/
Pneumonia, Pneumococcal
/
Proteinuria
/
Streptococcus pneumoniae
/
Streptococcus pyogenes
/
Blood Pressure
/
Chest Pain
/
Bacteremia
/
Cough
Type of study:
Screening study
Limits:
Child
/
Humans
/
Male
Language:
English
Journal:
Pediatric Infection & Vaccine
Year:
2019
Document type:
Article