Tábata Araneda Millar1; Magdalena Millán Little1; Dr. Aníbal Yévenes Troya2.
1Interna Medicina, Facultad de Medicina, Universidad de los Andes
2Médico Pediatra. Servicio de Pediatría, Clínica Santa María.
Introduction: poststreptococcal glomerulonephritis (PSGN) is frecuently caused by a prior infection with Streptococcus pyogenes. It is generated by a inmune complex glomerular disease induced by the streptococcal infection. The clinical presentation of PSGN varies from asymptomatic, to microscopic hematuria to nephritic syndrome. The diagnosis is based on clinical findings of nephritis, associated to confirmation of infection with laboratory tests. There is no specific treatment for PSGN, management is based on support care and symptomatic treatment, with emphasis on controling hypertension and edema. The resolution is, in general terms, fast and with favorable prognosis.
Case report: On the present work we expose a pediatric clinical case, of a four year old patient, who had sepsis of tonsil-pharyngeal origin caused by Streptococcus pneumoniae, associated with pansinusitis with preseptal cellulitis and atypical neprhotic syndrome due to glomerulonephritis.
Discussion: The case shows an atypical presentation of poststreptococcal glomerulonephritis, produced by Streptococcus pneumoniae, in contrast to the most frecuent cases of this disorder. We would like to emphasize the importance of the suspecting the diagnosis, directed laboratory tests to detect the cause, and multidisciplinary management.
Key words: Glomerulonephritis, nephrotic syndrome, hematuria, orbital cellulitis.