postinfectious glomerulonephritis

(redirected from Post-streptococcal glomerulonephritis)
Also found in: Wikipedia.

postinfectious glomerulonephritis

the acute form of glomerulonephritis, which may follow 1 to 6 weeks after a streptococcal infection, most often in childhood. Characteristics of the disease are hematuria, oliguria, edema, and proteinuria, especially in the form of granular casts. There may be slight impairment of renal function in adults, but most patients recover fully in 1 to 3 months. There is no specific treatment for this form of glomerulonephritis. Restriction of dietary protein and the prescription of diuretics may be necessary until kidney function returns to normal. Also called acute glomerulonephritis. See also chronic glomerulonephritis, subacute glomerulonephritis.
observations Onset of symptoms occurs 1 to 6 weeks after a streptococcal infection. Symptoms include hypertension, headache, edema, oliguria, dark urine, reduced urine output, flank pain, weight gain, fever, chills, nausea, and vomiting; about half of cases are asymptomatic. Diagnosis is made through a series of lab tests. Hematuria (microscopic or gross), proteinuria, sediment, and RBC casts are seen on urinalysis. Blood chemistries reveal increased blood urea nitrogen, increased serum creatinine, increased serum lipids, and decreased serum albumin. ASO titers are positive. Complications include congestive heart failure, acute or chronic renal failure, and end-stage renal disease.
interventions Treatment focuses on treating symptoms and preventing complications. Antihypertensives are administered for hypertension, diuretics are given for edema, and antiinfective drugs are administered if an infection is still present. Electrolytes are monitored and abnormalities corrected. Diet therapy focuses on restricted sodium, restricted potassium, and low protein to combat electrolyte abnormalities and uremia. Hemodialysis or peritoneal dialysis may be used to treat renal failure.
nursing considerations Nursing management in acute care focuses on supportive measures. Bed rest, fluid, and electrolyte restrictions and dietary reduction of protein are necessary until signs of inflammation (e.g., proteinuria and hematuria) subside. Instruction centers on restrictions and proper administration of a full course of antibiotics. Prevention is also key and involves encouraging individuals to seek early diagnosis and treatment of sore throats and skin lesions, particularly in children.
enlarge picture
Postinfectious glomerulonephritis: red blood cell cast
References in periodicals archive ?
1) Acute rheumatic fever can lead to valvular heart disease 2) Post-streptococcal glomerulonephritis - this is an acute reaction in the kidneys 3) Post-streptococcal reactive arthritis - this can affect all the body's joints.
Some of the illnesses caused by the bacteria are strep throat (a mild infection that occurs in children), scarlet fever (a contagious infection that is seen in children and adults) and Post-Streptococcal Glomerulonephritis (a kidney disease that occurs after throat and skin infection), according to(https://www.
Another manifestation of differential tolerance for this organism is evidenced by the fact that strep is known to trigger at least four very different types of "autoimmune" reactions, including rheumatic fever, post-streptococcal glomerulonephritis (technically an immune-complex disease, but bear with me), guttate psoriasis, and PANDAS.
Although complications of PSD are rare, a urine analysis may be performed to screen for possible post-streptococcal glomerulonephritis (19, 30).
2) The prototype of PIGN is Post-Streptococcal Glomerulonephritis (PSGN), which continues to be an important non-suppurative complication of Group A streptococcal infection.
This particular organism produces a painful sore throat ("strep throat") that can last three to five days, and can also cause long-term complications such as rheumatic heart disease, retropharyngeal abscess, and post-streptococcal glomerulonephritis (kidney disease).
7%), including pneumonia in 5, tonsillitis in 2, ascites in 2, severe anaemia in 1, post-streptococcal glomerulonephritis in 1 and cerebrovascular accident in 1.
Acute post-streptococcal glomerulonephritis (APSGN) is a non-suppurative, immunologically mediated complication of group A beta-haemolytic streptococcal infections.
Polymorphism ofthe streptokinase gene: implications for the pathogenesis of post-streptococcal glomerulonephritis.
An epidemic of acute post-streptococcal glomerulonephritis among Aboriginal children.
In addition to being a prevalent pathogen in sore throats, GAS is also responsible for sequelae such as rheumatic fever and post-streptococcal glomerulonephritis.
Fortunately, she did not have post-streptococcal glomerulonephritis.

Full browser ?