ESPN 50th Annual Meeting

ESPN 2017


 
Is the incidence of postinfectious glomerulonephritis increasing?: Cases with postinfectious glomerulonephritis from a single center in November-December 2016
BAHRIYE ATMIS 1 AYSUN KARABAY BAYAZIT 1 ENGIN MELEK 1 ÇAĞLA ÇAĞLI 2 ALI ANARAT 1

1- CUKUROVA UNIVERSITY, DEPARTMENT OF PEDIATRIC NEPHROLOGY, ADANA, TURKEY
2- CUKUROVA UNIVERSITY, DEPARTMENT OF PEDIATRICS, ADANA, TURKEY
 
Introduction:

 There is a certain increase in the number of patients with postinfectious glomerulonephritis (PIGN) in department of pediatric nephrology at Cukurova University during November-December 2016.

Material and methods:

 Clinical, laboratory and follow up results of the 13 patients that have PIGN are studied. Pediatricians diagnostic approaches and the reasons for referral were evaluated in patients with clinical symptoms of PIGN.

Results:

 The patients are diagnosed PIGN in the presence of  haematuria, proteinuria, evidence of recent streptococcal infection, low serum C3 levels with normalization on 8 weeks follow up. 13 patients (5 male, 8 female) are conducted into the study. Mean age was 9 (3-15). All of patients have had recent infection. The symptoms of patients at the time of admission were oedema (70%), macroscopic haematuria (23%), hypertension (15.3%) and respiratory distress (15.3%). 7 of the patients (53%) had blood pressure higher than 95.percetile for age, gender and hight. Non-nephrotic proteinuria was detected in 11 patients. All patients had low C3 levels.  Two of the patients had cardiac systolic dysfunction, pulmonary edema, and a referral to our hospital. There was improvement in clinical findings with fluid restriction and diuretic therapy in patients follow-ups. Because of nephrotic proteinuria and acute kidney injury, kidney biopsy was done to one of the patients and diagnosed with diffuse proliferative glomerulonephritis.

Conclusions:

 PIGN is observed with higher incidence in the developing countries. In these patients with different clinical presentation, it was aimed to draw attention of pediatricians.