Singapore Med J 2014; 55(5): e69-e72; http://dx.doi.org/10.11622/smedj.2013235
Pneumococcal glomerulonephritis in a healthy child: a case report and literature review
Ismail IH, Zainudin Z, Othman N
Correspondence: Dr Intan Hakimah Ismail, ihakimah@yahoo.com
ABSTRACT
Pneumococcal glomerulonephritis is rarely described in the literature. We report a four-year-old boy who developed acute glomerulonephritis following pneumococcal bacteraemia and submandibular lymphadenitis, and review the published literature. Two weeks after developing acute glomerulonephritis, the patient developed bronchopneumonia with left pleural effusion. However, by the fourth week of admission, his renal function had normalised and lung involvement resolved.
Keywords: glomerulonephritis, pleural effusion, pneumonia, Streptococcus pneumoniae
Singapore Med J 2014; 55(5): e69-e72; http://dx.doi.org/10.11622/smedj.2013235
REFERENCES
1. Phillips J, Palmer A, Baliga R. Glomerulonephritis associated with acute pneumococcal pneumonia: a case report. Pediatr Nephrol 2005; 20:1494-5.
http://dx.doi.org/10.1007/s00467-005-1994-6 |
| |
| 2. Schacter J, Pomeranz A, Berger I, Wolach B. Acute glomerulonephritis secondary to lobar pneumonia. Int J Pediatr Nephrol 1987; 8:211-4. |
| |
3. Wolach B, Uziel Y, Berger I, Pomeranz A. Cat-scratch bacillus and Streptococcus penumoniae causing submandibular suppurative adenitis and acute glomerulonephritis. Child Nephrol Urol 1990; 10:158-60.
PMid:2285923 |
| |
4. Hyman LR, Jenis EH, Hill GS, Zimmerman SW, Burkholder PM. Alternative c3 pathway activation in pneumococcal glomerulonephritis. Am J Med 1975; 58: 810-4.
http://dx.doi.org/10.1016/0002-9343(75)90636-1 |
| |
5. Lechón FC, Espí Mde L, Abal RP, Peiró JL. Acute glomerulonephritis associated with pneumonia: a review of three cases. Pediatr Nephrol 2010; 25:161-4.
http://dx.doi.org/10.1007/s00467-009-1288-5 |
| |
6. Kaehny WD, Ozawa T, Schwarz MI, et al. Acute nephritis and pulmonary alveolitis following pneumococcal pneumonia. Arch Intern Med 1978; 138:806-8.
http://dx.doi.org/10.1001/archinte.1978.03630290086030 |
| |
7. Usmani SZ, Shahid Z, Wheeler D, Nasser K. A rare case of postinfectious glomerulonephritis caused by pneumococcus in an adult patient. J Nephrol 2007; 20:99-102.
PMid:17347982 |
| |
8. Lawlor MT, Crowe HM, Quintiliani R. Cellulitis due to Streptococcus pneumoniae: case report and review. Clin Infect Dis 1992; 14:247-50.
http://dx.doi.org/10.1093/clinids/14.1.247 |
