A child with history of recurrent throat infrctions presents with hematuria and proteinuria with the last infection being 3 weeks back. The diagnosis is-
Ans. is 'd' i.e., Poststreptococcal glomerulonephritis Post streptococcal glomerulonephritiso PSGN appears 1 to 4 weeks after a streptococcal infection of pharynx or skin (impetigo). It is caused by certain nephritogenic serotypes of group A -hemolytic streptococcus (not by all serotypes)o The lesions are caused by immune complex deposition and activation of complement complement level decreaseso It occurs most frequently in children 6 to 10 years of age.o Clinically child presents with acute nephritic svndromei) Hematuriaii) Oliguric acute renal failureiii) Azotemiaiv) Proteinuriav) Hypertensionvi) Edemao PSGN causes acute renal failure, but not chronic renal failure-more than 95% of affected children eventually recover totally with conservative therapy.Treatmento Management is directed at treating the acute effects of renal insufficiency and hypertension.?o Although a 10 day course of systemic antibiotic therapy with penicillin is recommended to limit the spread ofnephritogenic organisms, antibiotic therapy does not affect the natural history of glomerulonephritis
Berger's disease
Henoch Schonlein purpura
Membranoproliferative glomerulonephritis
Poststreptococcal glomerulonephritis
Urinary Tract