Postinfectious Glomerulonephritis Associated with Pneumococcus and Influenza A Virus Infection in a Child: a Case Report and Literature Review
- Author:
Homin HUH
1
;
Joon Kee LEE
;
Ki Wook YUN
;
Hee Gyung KANG
;
Hae Il CHEONG
Author Information
- Publication Type:Case Report
- Keywords: Streptococcus pneumoniae; Glomerulonephritis; Influenza; Pneumonia; Children
- MeSH: Anti-Bacterial Agents; Bacteremia; Blood Pressure; Chest Pain; Child; Cough; Diuretics; Edema; Fever; Glomerulonephritis; Hematuria; Hospitalization; Humans; Influenza A virus; Influenza, Human; Male; Pneumonia; Pneumonia, Pneumococcal; Proteinuria; Streptococcus pneumoniae; Streptococcus pyogenes
- From:Pediatric Infection & Vaccine 2019;26(2):118-123
- CountryRepublic of Korea
- Language:English
- 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.
